Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $57.74 / $106.88	Facility		$45.16	$57.74	$106.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $77.08 / $85.98	Professional		$45.16	$77.08	$85.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $135.33 / $265.36	Facility		$132.68	$135.33	$265.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $79.14 / $210.90	Professional		$79.14	$79.14	$210.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $110.54 / $110.54	Facility		$102.80	$110.54	$110.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $110.54 / $110.54	Professional		$110.54	$110.54	$110.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $106.22	Professional		$77.54	$77.54	$106.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $294.00 / $332.00	Facility		$132.68	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $99.51 / $238.82	Professional		$68.68	$99.51	$238.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $85.85 / $85.85	Facility		$85.85	$85.85	$85.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $84.75 / $103.02	Professional		$79.76	$84.75	$103.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $555.00	Facility		$106.22	$106.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $79.04 / $197.69	Professional		$77.54	$79.04	$197.69
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $65.59 / $65.59	Facility		$0.11	$65.59	$65.59
United Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $71.40 / $121.35	Professional		$44.13	$71.40	$121.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $79.76 / $82.89	Facility		$79.76	$79.76	$82.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $79.76 / $85.85	Professional		$79.76	$79.76	$85.85