Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $61.66 / $87.10	Facility		$28.18	$61.66	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $64.57	Professional		$32.36	$39.81	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $154.88	Facility		$77.62	$77.62	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $173.78	Professional		$79.43	$117.49	$173.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $63.10 / $63.10	Facility		$58.88	$63.10	$63.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $114.82 / $50,118.72	Facility		$61.66	$114.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $77.62	Professional		$52.48	$52.48	$77.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $302.00	Facility		$77.62	$128.82	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $151.36	Professional		$47.86	$85.11	$151.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $60.26	Professional		$43.65	$46.77	$60.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $74.13	Professional		$51.29	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $81.28 / $95.50	Facility		$28.84	$81.28	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $64.57	Professional		$25.12	$40.74	$64.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Facility		$43.65	$43.65	$60.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26