Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $218.78	Facility		$50.12	$75.86	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $91.20	Professional		$56.23	$75.86	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $74.13	Professional		$70.79	$74.13	$74.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $50,118.72	Facility		$72.44	$81.28	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $389.05	Professional		$81.28	$81.28	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $257.04	Facility		$75.86	$107.15	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $89.13	Professional		$70.79	$77.62	$89.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $50,118.72 / $75,857.76	Facility		$95.50	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $77.62	Facility		$74.13	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $109.65	Professional		$72.44	$81.28	$109.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $79.43	Facility		$61.66	$75.86	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $91.20	Professional		$61.66	$75.86	$91.20