Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $117.49	Facility		$75.86	$97.72	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $141.25	Professional		$81.28	$107.15	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $186.21	Professional		$95.50	$112.20	$186.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Facility		$60.26	$60.26	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $165.96	Professional		$60.26	$107.15	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $707.95 / $794.33	Facility		$173.78	$707.95	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $436.52	Professional		$100.00	$173.78	$436.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $870.96	Facility		$208.93	$331.13	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $645.65	Professional		$288.40	$389.05	$645.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $616.60	Professional		$234.42	$389.05	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $50,118.72 / $75,857.76	Facility		$104.71	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $245.47	Professional		$158.49	$190.55	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $512.86	Professional		$194.98	$275.42	$512.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $707.95	Facility		$81.28	$199.53	$707.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $741.31	Professional		$234.42	$363.08	$741.31