Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $213.80 / $346.74	Facility		$97.72	$213.80	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $112.20	Professional		$61.66	$85.11	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $295.12	Facility		$114.82	$114.82	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $74.13 / $181.97	Professional		$0.03	$74.13	$181.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $114.82	Professional		$83.18	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $245.47 / $295.12	Facility		$75.86	$245.47	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $549.54 / $549.54	Professional		$67.61	$549.54	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $436.52	Facility		$114.82	$190.55	$436.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $223.87	Professional		$53.70	$69.18	$223.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $128.82	Professional		$72.44	$114.82	$128.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $50,118.72	Facility		$147.91	$213.80	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $138.04	Facility		$63.10	$102.33	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $169.82	Professional		$47.86	$66.07	$169.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $131.83	Facility		$69.18	$114.82	$131.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $131.83	Professional		$69.18	$114.82	$131.83