Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $100,000.00	Facility		$138.04	$173.78	$100,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $186.21	Professional		$154.88	$169.82	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Facility		$173.78	$173.78	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Professional		$169.82	$169.82	$186.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $158.49	Facility		$144.54	$144.54	$158.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $50,118.72	Facility		$154.88	$323.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $436.52	Facility		$181.97	$251.19	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $181.97	Professional		$154.88	$181.97	$181.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $186.21	Facility		$173.78	$177.83	$186.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Professional		$173.78	$173.78	$177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $50,118.72 / $75,857.76	Facility		$302.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $275.42	Professional		$194.98	$204.17	$275.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $194.98	Facility		$173.78	$177.83	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $177.83	Professional		$173.78	$173.78	$177.83