Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $46.77 / $67.61	Facility		$20.89	$46.77	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $61.66	Professional		$25.12	$34.67	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $120.23	Facility		$60.26	$60.26	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $36.31 / $95.50	Professional		$35.48	$36.31	$95.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $48.98 / $48.98	Facility		$45.71	$48.98	$48.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $107.15 / $50,118.72	Facility		$37.15	$107.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Professional		$26.92	$26.92	$58.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $229.09	Facility		$60.26	$97.72	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $114.82	Professional		$37.15	$63.10	$114.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Facility		$25.12	$25.12	$26.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $37.15	Professional		$25.12	$35.48	$37.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $50,118.72 / $75,857.76	Facility		$53.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $57.54	Professional		$38.90	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $46.77 / $79.43	Facility		$21.88	$46.77	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $48.98	Professional		$19.50	$31.62	$48.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $35.48	Facility		$25.12	$33.88	$35.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $37.15	Professional		$25.12	$35.48	$37.15