Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $173.78	Facility		$66.07	$87.10	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $1,412.54	Professional		$64.57	$83.18	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Facility		$66.07	$66.07	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $72.44	Professional		$66.07	$66.07	$72.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $398.11	Facility		$61.66	$61.66	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $549.54	Professional		$66.07	$66.07	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $229.09	Facility		$64.57	$81.28	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $123.03	Professional		$67.61	$67.61	$123.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Facility		$87.10	$87.10	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $50,118.72 / $75,857.76	Facility		$117.49	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $123.03	Professional		$66.07	$66.07	$123.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $407.38	Professional		$87.10	$87.10	$407.38