Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $87.10 / $123.03	Facility		$38.90	$87.10	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $93.33	Professional		$45.71	$57.54	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $218.78	Facility		$109.65	$109.65	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $186.21	Professional		$87.10	$89.13	$186.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $89.13 / $89.13	Facility		$83.18	$89.13	$89.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $50,118.72	Facility		$87.10	$162.18	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $109.65	Professional		$74.13	$74.13	$109.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $426.58	Facility		$109.65	$181.97	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $213.80	Professional		$67.61	$114.82	$213.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $87.10	Professional		$64.57	$69.18	$87.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $50,118.72 / $75,857.76	Facility		$177.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $104.71	Professional		$72.44	$104.71	$104.71
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 / $57.54 / $91.20	Professional		$36.31	$57.54	$91.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $87.10	Facility		$61.66	$64.57	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $87.10	Professional		$61.66	$64.57	$87.10