Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $186.21	Facility		$66.07	$85.11	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $91.20	Professional		$64.57	$66.07	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
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 $57.54 / $61.66 / $97.72	Facility		$57.54	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $74.13	Professional		$66.07	$66.07	$74.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $81.28 / $223.87	Facility		$63.10	$81.28	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $85.11	Professional		$69.18	$72.44	$85.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Facility		$66.07	$66.07	$67.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $67.61	Professional		$66.07	$67.61	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $50,118.72 / $75,857.76	Facility		$83.18	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
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 $61.66 / $66.07 / $85.11	Professional		$61.66	$66.07	$85.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $75.86	Facility		$66.07	$66.07	$75.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $67.61	Professional		$66.07	$67.61	$67.61