Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $33.61 / $38.54	Professional		$33.61	$33.61	$38.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $48.81 / $48.81	Facility		$48.81	$48.81	$48.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $48.81 / $48.81	Professional		$48.81	$48.81	$48.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $192.32	Professional		$31.89	$31.89	$192.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $63.59 / $332.00	Facility		$43.17	$63.59	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $69.37 / $128.88	Professional		$46.36	$69.37	$128.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $51.51 / $83.74	Professional		$36.53	$51.51	$83.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $40.00 / $169.81	Professional		$31.89	$40.00	$169.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $42.98 / $104.85	Professional		$30.80	$42.98	$104.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $36.64 / $36.64	Facility		$36.64	$36.64	$36.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $36.64 / $83.74	Professional		$31.15	$36.64	$83.74