Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $144.54 / $204.17	Facility		$61.66	$144.54	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $208.93	Professional		$72.44	$102.33	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $371.54	Facility		$181.97	$181.97	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $309.03	Professional		$109.65	$109.65	$309.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $151.36 / $151.36	Facility		$138.04	$151.36	$151.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $50,118.72	Facility		$117.49	$323.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $199.53	Professional		$85.11	$85.11	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $707.95	Facility		$181.97	$302.00	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $354.81	Professional		$114.82	$194.98	$354.81
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 / $107.15 / $114.82	Professional		$79.43	$107.15	$114.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $50,118.72 / $75,857.76	Facility		$169.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $177.83	Professional		$120.23	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $245.47	Facility		$74.13	$112.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $154.88	Professional		$60.26	$93.33	$154.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $107.15	Facility		$79.43	$102.33	$107.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $114.82	Professional		$79.43	$107.15	$114.82