Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $165.96	Facility		$87.10	$102.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $138.04	Professional		$74.13	$97.72	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $257.04	Facility		$128.82	$128.82	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $251.19	Professional		$102.33	$107.15	$251.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $107.15 / $144.54	Facility		$15.85	$107.15	$144.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $107.15 / $144.54	Professional		$15.85	$107.15	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $154.88 / $269.15	Facility		$33.11	$154.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $676.08	Professional		$81.28	$95.50	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $501.19	Facility		$128.82	$213.80	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $245.47	Professional		$81.28	$109.65	$245.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $123.03	Facility		$117.49	$117.49	$123.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $144.54	Professional		$117.49	$120.23	$144.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $50,118.72 / $75,857.76	Facility		$251.19	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $60.26 / $95.50	Facility		$8.13	$60.26	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $158.49	Professional		$47.86	$97.72	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $141.25	Facility		$117.49	$134.90	$141.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $144.54	Professional		$117.49	$131.83	$144.54