Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $281.84	Facility		$100.00	$131.83	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $131.83	Professional		$100.00	$100.00	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Facility		$97.72	$97.72	$102.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Facility		$93.33	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $426.58	Professional		$100.00	$100.00	$426.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $346.74	Facility		$95.50	$117.49	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $123.03	Professional		$97.72	$97.72	$123.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Professional		$100.00	$100.00	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $144.54	Professional		$100.00	$100.00	$144.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $120.23	Professional		$100.00	$102.33	$120.23