Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $154.88 / $218.78	Facility		$64.57	$154.88	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $173.78	Professional		$77.62	$112.20	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $331.13	Professional		$117.49	$117.49	$331.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $158.49 / $158.49	Facility		$147.91	$158.49	$158.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $50,118.72	Facility		$120.23	$338.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $213.80	Professional		$87.10	$87.10	$213.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $741.31	Facility		$194.98	$323.59	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $371.54	Professional		$120.23	$213.80	$371.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $123.03	Professional		$81.28	$114.82	$123.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $50,118.72 / $75,857.76	Facility		$173.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $186.21	Professional		$125.89	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $257.04	Facility		$79.43	$125.89	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $165.96	Professional		$63.10	$100.00	$165.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $114.82	Facility		$81.28	$109.65	$114.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $123.03	Professional		$81.28	$114.82	$123.03