Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.00 / $141.25	Facility		$44.67	$100.00	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $104.71	Professional		$47.86	$70.79	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $251.19	Facility		$125.89	$125.89	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $213.80	Professional		$70.79	$70.79	$213.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $104.71 / $104.71	Facility		$95.50	$104.71	$104.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $213.80 / $50,118.72	Facility		$97.72	$213.80	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Professional		$70.79	$70.79	$125.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $489.78	Facility		$125.89	$208.93	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $245.47	Professional		$79.43	$138.04	$245.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $79.43	Professional		$60.26	$74.13	$79.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $120.23	Professional		$83.18	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $158.49	Facility		$47.86	$93.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $104.71	Professional		$41.69	$67.61	$104.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $74.13	Facility		$60.26	$72.44	$74.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $79.43	Professional		$60.26	$74.13	$79.43