Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $177.83	Facility		$70.79	$89.13	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $89.13	Professional		$70.79	$74.13	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Facility		$74.13	$74.13	$81.28
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 $75.86 / $81.28 / $50,118.72	Facility		$75.86	$81.28	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $398.11	Professional		$75.86	$75.86	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $131.83	Facility		$75.86	$75.86	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $87.10	Professional		$75.86	$75.86	$87.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $83.18	Facility		$75.86	$79.43	$83.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $79.43	Professional		$75.86	$79.43	$79.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $50,118.72 / $75,857.76	Facility		$162.18	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $107.15	Professional		$74.13	$74.13	$107.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $87.10	Facility		$75.86	$79.43	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $95.50	Professional		$75.86	$79.43	$95.50