Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $56.07 / $56.21	Facility		$47.21	$56.07	$56.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $54.41 / $62.72	Professional		$43.82	$54.41	$62.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $60.93 / $94.09	Professional		$51.79	$60.93	$94.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $67.78 / $10,957.50	Facility		$67.78	$67.78	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $67.78 / $67.78	Professional		$67.78	$67.78	$67.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $76.62 / $76.62	Facility		$76.62	$76.62	$76.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $111.44 / $321.16	Professional		$88.63	$111.44	$321.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $171.09 / $332.00	Facility		$88.51	$171.09	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $108.63 / $171.85	Professional		$85.89	$108.63	$171.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $73.76 / $73.76	Facility		$73.76	$73.76	$73.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $114.84 / $162.63	Professional		$73.76	$114.84	$162.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $555.00 / $74,999.25	Facility		$76.62	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $111.44 / $321.16	Professional		$93.02	$111.44	$321.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $61.49 / $123.07	Professional		$44.10	$61.49	$123.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.76 / $73.76 / $73.76	Facility		$73.76	$73.76	$73.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.76 / $73.76 / $154.74	Professional		$73.76	$73.76	$154.74