Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $91.20	Facility		$69.18	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $120.23	Professional		$60.26	$91.20	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $199.53	Professional		$100.00	$100.00	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.49 / $173.78	Facility		$12.59	$13.49	$173.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $173.78	Professional		$13.49	$13.49	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $131.83 / $223.87	Facility		$28.18	$131.83	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $100.00 / $562.34	Professional		$11.48	$100.00	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $141.25	Professional		$77.62	$95.50	$141.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $100.00	Facility		$95.50	$95.50	$100.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $4,677.35	Professional		$95.50	$123.03	$4,677.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $50,118.72 / $75,857.76	Facility		$208.93	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $47.86 / $79.43	Facility		$6.92	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $138.04	Professional		$40.74	$67.61	$138.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $4,677.35	Facility		$95.50	$114.82	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $4,677.35	Professional		$95.50	$123.03	$4,677.35