Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $162.18	Facility		$74.13	$95.50	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $102.33	Professional		$72.44	$74.13	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Facility		$74.13	$74.13	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
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 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $251.19	Facility		$69.18	$91.20	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $93.33	Professional		$77.62	$79.43	$93.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Facility		$74.13	$74.13	$75.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $75.86	Professional		$74.13	$75.86	$75.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $50,118.72 / $75,857.76	Facility		$93.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $89.13	Professional		$69.18	$74.13	$89.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $85.11	Facility		$74.13	$74.13	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $75.86	Professional		$74.13	$75.86	$75.86