Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $57.77 / $80.02	Facility		$55.72	$57.77	$80.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $57.77 / $86.19	Professional		$44.99	$57.77	$86.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $66.53 / $67.06	Professional		$57.00	$66.53	$67.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $292.60 / $292.60 / $292.60	Facility		$292.60	$292.60	$292.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $292.60 / $292.60	Professional		$292.60	$292.60	$292.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $92.46 / $92.46	Facility		$92.46	$92.46	$92.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $346.77 / $346.77	Professional		$346.77	$346.77	$346.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $125.14 / $332.00	Facility		$70.68	$125.14	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $80.28 / $134.71	Professional		$46.24	$80.28	$134.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $68.91 / $111.47	Professional		$58.90	$68.91	$111.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $555.00 / $74,999.25	Facility		$92.46	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $346.77 / $346.77 / $346.77	Professional		$346.77	$346.77	$346.77
United Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $201.61 / $480.59	Professional		$39.99	$201.61	$480.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $58.90 / $111.47	Professional		$58.90	$58.90	$111.47