Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $89.13	Facility		$26.92	$56.23	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $30.90	Professional		$19.05	$22.91	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $77.62	Facility		$29.51	$29.51	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $46.77	Professional		$14.45	$14.45	$46.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $29.51	Professional		$21.38	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $63.10 / $77.62	Facility		$19.05	$63.10	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $141.25	Professional		$29.51	$43.65	$141.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $48.98 / $114.82	Facility		$29.51	$48.98	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $57.54	Professional		$30.90	$39.81	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $52.48	Professional		$25.12	$29.51	$52.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $50,118.72	Facility		$38.90	$56.23	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $33.88	Professional		$29.51	$29.51	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $29.51 / $35.48	Facility		$26.92	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $39.81	Professional		$12.30	$17.78	$39.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $33.88	Facility		$25.12	$29.51	$33.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $58.88	Professional		$21.88	$29.51	$58.88