Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $43.65 / $77.62	Facility		$32.36	$43.65	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $46.77	Professional		$25.70	$33.88	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $58.88	Professional		$15.49	$18.62	$58.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $39.81 / $39.81	Facility		$37.15	$39.81	$39.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $50,118.72	Facility		$75.86	$75.86	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $47.86	Professional		$19.05	$19.05	$47.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $186.21	Facility		$47.86	$79.43	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $95.50	Professional		$47.86	$69.18	$95.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $63.10	Professional		$58.88	$63.10	$63.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $45.71	Professional		$31.62	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $43.65	Professional		$15.85	$23.44	$43.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $63.10	Professional		$58.88	$58.88	$63.10