Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $199.53	Facility		$69.18	$97.72	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $131.83	Professional		$69.18	$69.18	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Facility		$69.18	$69.18	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Facility		$74.13	$74.13	$77.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $97.72	Facility		$66.07	$66.07	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $281.84	Professional		$69.18	$69.18	$281.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $239.88	Facility		$66.07	$87.10	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $112.20	Professional		$75.86	$75.86	$112.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $50,118.72 / $75,857.76	Facility		$91.20	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $109.65	Professional		$64.57	$77.62	$109.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Facility		$66.07	$66.07	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $79.43	Professional		$53.70	$66.07	$79.43