Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $200.25 / $326.13	Facility		$72.90	$200.25	$326.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $51.94 / $66.90	Professional		$51.94	$51.94	$66.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $297.52	Facility		$114.43	$114.43	$297.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $45.77 / $118.34	Professional		$40.29	$45.77	$118.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $85.77 / $85.77	Facility		$85.77	$85.77	$85.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $85.77 / $85.77	Professional		$62.61	$85.77	$85.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $173.84 / $222.75	Facility		$59.93	$173.84	$222.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $164.68 / $1,875.37	Professional		$55.75	$164.68	$1,875.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $240.30 / $346.00	Facility		$114.43	$240.30	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $62.94 / $213.98	Professional		$39.45	$62.94	$213.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $81.48 / $114.43	Professional		$59.69	$81.48	$114.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.63 / $206.11 / $229.13	Facility		$83.63	$206.11	$229.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $91.07 / $551.54	Professional		$61.95	$91.07	$551.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $51.46 / $132.94	Professional		$36.02	$51.46	$132.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $98.63 / $98.63	Facility		$85.77	$98.63	$98.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.69 / $85.77 / $103.09	Professional		$59.69	$85.77	$103.09