Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $213.80	Facility		$79.43	$107.15	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $109.65	Professional		$79.43	$79.43	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $83.18	Facility		$79.43	$79.43	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Facility		$70.79	$70.79	$74.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $117.49	Facility		$74.13	$75.86	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $331.13	Professional		$79.43	$79.43	$331.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $74.13 / $173.78	Facility		$42.66	$74.13	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $97.72	Professional		$42.66	$42.66	$97.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $79.43	Professional		$77.62	$77.62	$79.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $50,118.72 / $75,857.76	Facility		$100.00	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $114.82	Professional		$77.62	$89.13	$114.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Facility		$77.62	$77.62	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $93.33	Professional		$77.62	$79.43	$93.33