Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $102.33 / $147.91	Facility		$42.66	$102.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $114.82	Professional		$52.48	$66.07	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $263.03	Facility		$131.83	$131.83	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $223.87	Professional		$70.79	$70.79	$223.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.15 / $107.15	Facility		$100.00	$107.15	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $208.93 / $50,118.72	Facility		$75.86	$208.93	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $128.82	Professional		$54.95	$54.95	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $501.19	Facility		$131.83	$213.80	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $251.19	Professional		$81.28	$138.04	$251.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Facility		$40.74	$40.74	$42.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $81.28	Professional		$40.74	$77.62	$81.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $125.89	Professional		$85.11	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $158.49	Facility		$47.86	$87.10	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $107.15	Professional		$42.66	$64.57	$107.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $77.62	Facility		$40.74	$74.13	$77.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $81.28	Professional		$40.74	$77.62	$81.28