Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $199.53	Facility		$60.26	$141.25	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $162.18	Professional		$72.44	$102.33	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $363.08	Facility		$177.83	$177.83	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $302.00	Professional		$109.65	$109.65	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $147.91	Facility		$138.04	$147.91	$147.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $316.23 / $50,118.72	Facility		$109.65	$316.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $194.98	Professional		$81.28	$81.28	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $691.83	Facility		$177.83	$295.12	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $346.74	Professional		$112.20	$199.53	$346.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $27.54	Facility		$26.30	$26.30	$27.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $107.15 / $112.20	Professional		$26.30	$107.15	$112.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $50,118.72 / $75,857.76	Facility		$56.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $173.78	Professional		$117.49	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $239.88	Facility		$72.44	$109.65	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $151.36	Professional		$58.88	$93.33	$151.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $100.00 / $107.15	Facility		$26.30	$100.00	$107.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $107.15 / $112.20	Professional		$26.30	$107.15	$112.20