Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $263.03	Facility		$91.20	$134.90	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $218.78	Professional		$87.10	$100.00	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $208.93	Professional		$83.18	$102.33	$208.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $389.05	Facility		$79.43	$154.88	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $338.84	Professional		$72.44	$134.90	$338.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $371.54	Facility		$109.65	$213.80	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $204.17	Professional		$87.10	$138.04	$204.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $151.36 / $151.36	Facility		$57.54	$151.36	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $181.97	Professional		$75.86	$114.82	$181.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $50,118.72 / $75,857.76	Facility		$323.59	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $213.80	Professional		$117.49	$134.90	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $97.72 / $120.23	Facility		$77.62	$97.72	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $234.42	Professional		$72.44	$107.15	$234.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $208.93	Facility		$66.07	$151.36	$208.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $229.09	Professional		$77.62	$117.49	$229.09