Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $66.07 / $91.20	Facility		$61.66	$66.07	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $158.49	Professional		$64.57	$69.18	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $69.18	Facility		$64.57	$64.57	$69.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $50,118.72	Facility		$63.10	$72.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $346.74	Professional		$72.44	$72.44	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $251.19	Facility		$69.18	$104.71	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $83.18	Professional		$69.18	$69.18	$83.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $50,118.72 / $75,857.76	Facility		$141.25	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Facility		$66.07	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $112.20	Professional		$74.13	$77.62	$112.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Facility		$67.61	$67.61	$81.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Professional		$67.61	$67.61	$81.28