Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $295.12	Facility		$95.50	$208.93	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $234.42	Professional		$107.15	$154.88	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $524.81	Facility		$263.03	$263.03	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $416.87	Professional		$154.88	$162.18	$416.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $213.80	Facility		$199.53	$213.80	$213.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $50,118.72	Facility		$162.18	$446.68	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $257.04	Professional		$117.49	$117.49	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $1,023.29	Facility		$263.03	$436.52	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $512.86	Professional		$162.18	$288.40	$512.86
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 $154.88 / $165.96 / $194.98	Professional		$154.88	$165.96	$194.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $50,118.72 / $75,857.76	Facility		$426.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $251.19	Professional		$173.78	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $354.81	Facility		$104.71	$204.17	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $218.78	Professional		$85.11	$141.25	$218.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $204.17	Facility		$154.88	$162.18	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $194.98	Professional		$154.88	$165.96	$194.98