Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $102.33	Facility		$28.84	$64.57	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $34.67	Professional		$19.95	$26.92	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $87.10	Facility		$33.88	$33.88	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $48.98	Professional		$13.49	$13.49	$48.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $33.88	Professional		$24.55	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $125.89	Facility		$21.88	$53.70	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $162.18	Professional		$33.88	$50.12	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $128.82	Facility		$33.88	$56.23	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $66.07	Professional		$35.48	$45.71	$66.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $60.26	Professional		$28.84	$33.11	$60.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $50,118.72	Facility		$43.65	$64.57	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $34.67	Professional		$33.88	$33.88	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $40.74	Facility		$30.20	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $44.67	Professional		$14.13	$20.42	$44.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $38.90	Facility		$28.84	$33.88	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $67.61	Professional		$22.91	$33.88	$67.61