Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $199.53	Facility		$70.79	$91.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $112.20	Professional		$70.79	$70.79	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Facility		$70.79	$70.79	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Facility		$57.54	$57.54	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $102.33	Facility		$58.88	$66.07	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
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 $74.13 / $77.62 / $93.33	Professional		$74.13	$77.62	$93.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $72.44	Facility		$70.79	$70.79	$72.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $72.44	Professional		$70.79	$72.44	$72.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $169.82 / $53,703.18	Facility		$77.62	$169.82	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $93.33	Professional		$66.07	$70.79	$93.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $83.18	Facility		$70.79	$70.79	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $72.44	Professional		$70.79	$72.44	$72.44