Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $263.03	Facility		$34.67	$45.71	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $44.67	Professional		$34.67	$34.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $41.69	Professional		$14.45	$14.45	$41.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $36.31	Professional		$26.30	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.54 / $128.82	Facility		$23.44	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $173.78	Professional		$36.31	$42.66	$173.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $81.28	Facility		$36.31	$41.69	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $67.61	Professional		$25.12	$44.67	$67.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $64.57	Professional		$30.20	$35.48	$64.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $50,118.72	Facility		$36.31	$67.61	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $37.15	Professional		$36.31	$36.31	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $36.31 / $42.66	Facility		$32.36	$36.31	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $46.77	Professional		$15.14	$21.38	$46.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $36.31 / $41.69	Facility		$21.38	$36.31	$41.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $70.79	Professional		$30.20	$36.31	$70.79