Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $204.17 / $316.23	Facility		$79.43	$204.17	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $83.18	Professional		$51.29	$67.61	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $295.12	Facility		$114.82	$114.82	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $138.04	Professional		$44.67	$45.71	$138.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $85.11	Professional		$63.10	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $223.87	Facility		$74.13	$181.97	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $549.54 / $1,862.09	Professional		$131.83	$549.54	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $436.52	Facility		$114.82	$190.55	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $223.87	Professional		$40.74	$69.18	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $114.82	Professional		$60.26	$89.13	$114.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $50,118.72	Facility		$147.91	$213.80	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $138.04	Facility		$58.88	$102.33	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $128.82	Professional		$36.31	$51.29	$128.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $97.72	Facility		$72.44	$85.11	$97.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $109.65	Professional		$52.48	$85.11	$109.65