Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $63.10 / $89.13	Facility		$28.18	$63.10	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $72.44	Professional		$33.11	$42.66	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $158.49	Facility		$79.43	$79.43	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $128.82	Professional		$53.70	$54.95	$128.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $64.57 / $64.57	Facility		$60.26	$64.57	$64.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $134.90 / $50,118.72	Facility		$48.98	$134.90	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $77.62	Professional		$35.48	$35.48	$77.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $302.00	Facility		$79.43	$131.83	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $154.88	Professional		$48.98	$85.11	$154.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $44.67	Facility		$42.66	$42.66	$44.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $50.12	Professional		$42.66	$46.77	$50.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $50,118.72 / $75,857.76	Facility		$91.20	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $75.86	Professional		$52.48	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $107.15	Facility		$29.51	$61.66	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $66.07	Professional		$25.70	$41.69	$66.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $46.77 / $48.98	Facility		$42.66	$46.77	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $50.12	Professional		$42.66	$46.77	$50.12