Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $154.88	Facility		$67.61	$147.91	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $131.83	Professional		$54.95	$83.18	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $218.78	Facility		$109.65	$109.65	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $295.12	Professional		$112.20	$112.20	$295.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $138.04	Facility		$128.82	$138.04	$138.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $50,118.72	Facility		$128.82	$181.97	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $154.88	Professional		$93.33	$93.33	$154.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $426.58	Facility		$109.65	$181.97	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $213.80	Professional		$75.86	$120.23	$213.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Facility		$112.20	$112.20	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $128.82	Professional		$112.20	$120.23	$128.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $50,118.72 / $75,857.76	Facility		$245.47	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $154.88	Professional		$87.10	$104.71	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $165.96 / $194.98	Facility		$72.44	$165.96	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $158.49	Professional		$63.10	$95.50	$158.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $134.90	Facility		$112.20	$120.23	$134.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $128.82	Professional		$112.20	$120.23	$128.82