Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $239.88	Facility		$67.61	$147.91	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $83.18	Professional		$46.77	$63.10	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $114.82	Professional		$31.62	$31.62	$114.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $79.43	Professional		$57.54	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $295.12	Facility		$51.29	$125.89	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $380.19	Professional		$79.43	$104.71	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $302.00	Facility		$79.43	$131.83	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $154.88	Professional		$83.18	$102.33	$154.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $141.25	Professional		$63.10	$77.62	$141.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $50,118.72	Facility		$102.33	$147.91	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $104.71	Professional		$33.11	$47.86	$104.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $91.20	Facility		$47.86	$79.43	$91.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $154.88	Professional		$63.10	$79.43	$154.88