Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $125.89	Facility		$37.15	$87.10	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $97.72	Professional		$41.69	$54.95	$97.72
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 / $91.20 / $91.20	Facility		$85.11	$91.20	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $50,118.72	Facility		$66.07	$177.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $109.65	Professional		$48.98	$48.98	$109.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $426.58	Facility		$112.20	$181.97	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $213.80	Professional		$69.18	$117.49	$213.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $67.61	Professional		$63.10	$66.07	$67.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $50,118.72 / $75,857.76	Facility		$141.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $107.15	Professional		$72.44	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $114.82 / $134.90	Facility		$40.74	$114.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $93.33	Professional		$36.31	$54.95	$93.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $69.18	Facility		$63.10	$63.10	$69.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $67.61	Professional		$63.10	$66.07	$67.61