Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $173.78	Facility		$51.29	$123.03	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $177.83	Professional		$66.07	$89.13	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $309.03	Facility		$154.88	$154.88	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $263.03	Professional		$95.50	$95.50	$263.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $125.89	Facility		$117.49	$125.89	$125.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $50,118.72	Facility		$131.83	$275.42	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $169.82	Professional		$97.72	$97.72	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $602.56	Facility		$154.88	$257.04	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $302.00	Professional		$95.50	$169.82	$302.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $97.72	Professional		$66.07	$91.20	$97.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $50,118.72 / $75,857.76	Facility		$141.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $147.91	Professional		$102.33	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $204.17	Facility		$63.10	$100.00	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $131.83	Professional		$51.29	$79.43	$131.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $91.20	Facility		$66.07	$87.10	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $97.72	Professional		$66.07	$91.20	$97.72