Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $239.88 / $346.74	Facility		$109.65	$239.88	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $218.78	Professional		$97.72	$131.83	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $616.60	Facility		$309.03	$309.03	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $478.63	Professional		$138.04	$138.04	$478.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $251.19 / $251.19	Facility		$234.42	$251.19	$251.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $50,118.72	Facility		$194.98	$407.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $302.00	Professional		$141.25	$141.25	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $1,174.90	Facility		$309.03	$501.19	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $588.84	Professional		$190.55	$323.59	$588.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $194.98	Professional		$181.97	$190.55	$194.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $50,118.72 / $75,857.76	Facility		$416.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $295.12	Professional		$199.53	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $309.03	Facility		$93.33	$177.83	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $251.19	Professional		$100.00	$154.88	$251.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $186.21 / $204.17	Facility		$181.97	$186.21	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $194.98	Professional		$181.97	$190.55	$194.98