Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $85.11 / $190.55	Facility		$64.57	$85.11	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Professional		$64.57	$64.57	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Facility		$154.88	$154.88	$162.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $162.18	Facility		$61.66	$61.66	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $177.83	Facility		$50.12	$64.57	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $79.43	Professional		$54.95	$57.54	$79.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $83.18	Facility		$79.43	$79.43	$83.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $83.18	Professional		$79.43	$83.18	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $50,118.72 / $75,857.76	Facility		$81.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $173.78	Professional		$120.23	$120.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $87.10	Professional		$61.66	$64.57	$87.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $95.50	Facility		$79.43	$79.43	$95.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $83.18	Professional		$79.43	$83.18	$83.18