Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $85.11 / $120.23	Facility		$36.31	$85.11	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $102.33	Professional		$40.74	$57.54	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $213.80	Facility		$107.15	$107.15	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $181.97	Professional		$60.26	$60.26	$181.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $89.13	Facility		$81.28	$89.13	$89.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $173.78 / $50,118.72	Facility		$61.66	$173.78	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $109.65	Professional		$44.67	$44.67	$109.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $416.87	Facility		$107.15	$177.83	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $208.93	Professional		$67.61	$120.23	$208.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Facility		$67.61	$67.61	$70.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $67.61	Professional		$63.10	$67.61	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $50,118.72 / $75,857.76	Facility		$144.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $102.33	Professional		$70.79	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $134.90	Facility		$37.15	$61.66	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $91.20	Professional		$35.48	$54.95	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $66.07 / $70.79	Facility		$63.10	$66.07	$70.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $67.61	Professional		$63.10	$67.61	$67.61