Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $83.18 / $389.05	Facility		$33.88	$83.18	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $93.33	Professional		$40.74	$52.48	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $208.93	Facility		$104.71	$104.71	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $158.49	Professional		$56.23	$58.88	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $165.96 / $50,118.72	Facility		$67.61	$165.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Professional		$50.12	$50.12	$104.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $398.11	Facility		$104.71	$173.78	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $199.53	Professional		$64.57	$109.65	$199.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Facility		$35.48	$35.48	$37.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $66.07	Professional		$35.48	$61.66	$66.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $50,118.72 / $75,857.76	Facility		$75.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $100.00	Professional		$67.61	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $128.82	Facility		$35.48	$60.26	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $89.13	Professional		$33.88	$52.48	$89.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $54.95 / $61.66	Facility		$35.48	$54.95	$61.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $66.07	Professional		$35.48	$61.66	$66.07