Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $194.98 / $275.42	Facility		$89.13	$194.98	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $501.19	Facility		$251.19	$251.19	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $416.87	Professional		$147.91	$147.91	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $204.17	Facility		$190.55	$204.17	$204.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $446.68 / $50,118.72	Facility		$158.49	$446.68	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $269.15	Professional		$117.49	$117.49	$269.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $954.99	Facility		$251.19	$407.38	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $478.63	Professional		$154.88	$275.42	$478.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $186.21	Facility		$177.83	$177.83	$186.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $177.83	Professional		$147.91	$154.88	$177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $50,118.72 / $75,857.76	Facility		$380.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $239.88	Professional		$162.18	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $331.13	Facility		$100.00	$281.84	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $204.17	Professional		$81.28	$131.83	$204.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $186.21	Facility		$138.04	$147.91	$186.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $177.83	Professional		$147.91	$154.88	$177.83