Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $302.00	Facility		$104.71	$138.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $141.25	Professional		$104.71	$104.71	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Facility		$104.71	$104.71	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Facility		$87.10	$87.10	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $147.91	Facility		$89.13	$100.00	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $363.08	Facility		$100.00	$128.82	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $134.90	Professional		$109.65	$114.82	$134.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Facility		$100.00	$100.00	$102.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $102.33	Professional		$100.00	$102.33	$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
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $125.89	Professional		$97.72	$104.71	$125.89
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 / $102.33	Professional		$100.00	$102.33	$102.33