Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $85.11 / $120.23	Facility		$34.67	$85.11	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $93.33	Professional		$40.74	$54.95	$93.33
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 $57.54 / $57.54 / $181.97	Professional		$57.54	$57.54	$181.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $87.10	Facility		$81.28	$87.10	$87.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $169.82 / $50,118.72	Facility		$60.26	$169.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $107.15	Professional		$43.65	$43.65	$107.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $407.38	Facility		$107.15	$177.83	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $204.17	Professional		$63.10	$112.20	$204.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Professional		$63.10	$63.10	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $102.33	Professional		$69.18	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $109.65 / $131.83	Facility		$39.81	$109.65	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $91.20	Professional		$34.67	$52.48	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $63.10 / $66.07	Facility		$60.26	$63.10	$66.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Professional		$63.10	$63.10	$67.61