Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $89.13 / $125.89	Facility		$37.15	$89.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $83.18	Professional		$38.02	$54.95	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $223.87	Facility		$112.20	$112.20	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $190.55	Professional		$58.88	$58.88	$190.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $93.33	Facility		$85.11	$93.33	$93.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $162.18 / $50,118.72	Facility		$58.88	$162.18	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $436.52	Facility		$112.20	$186.21	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $218.78	Professional		$70.79	$123.03	$218.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $89.13	Facility		$83.18	$83.18	$89.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $83.18	Professional		$66.07	$70.79	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $50,118.72 / $75,857.76	Facility		$181.97	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $107.15	Professional		$74.13	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $58.88 / $128.82	Facility		$38.90	$58.88	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $95.50	Professional		$37.15	$54.95	$95.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $69.18 / $89.13	Facility		$66.07	$69.18	$89.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $83.18	Professional		$66.07	$70.79	$83.18