Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $234.42	Facility		$77.62	$147.91	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $114.82	Professional		$57.54	$66.07	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $204.17	Facility		$77.62	$77.62	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $186.21	Professional		$38.90	$39.81	$186.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $77.62 / $77.62	Facility		$46.77	$77.62	$77.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $77.62	Professional		$57.54	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $165.96 / $851.14	Facility		$58.88	$165.96	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $524.81	Professional		$48.98	$112.20	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $213.80	Facility		$43.65	$89.13	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $151.36	Professional		$37.15	$54.95	$151.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $102.33	Professional		$67.61	$81.28	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $50,118.72	Facility		$95.50	$147.91	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $93.33	Facility		$46.77	$70.79	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $117.49	Professional		$33.11	$46.77	$117.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $186.21	Facility		$66.07	$77.62	$186.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $229.09	Professional		$66.07	$83.18	$229.09