Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.74 / $102.61 / $143.52	Facility		$83.74	$102.61	$143.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $88.91 / $191.40	Professional		$83.74	$88.91	$191.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $82.53 / $178.67	Professional		$66.45	$82.53	$178.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $112.50 / $4,050.00	Facility		$112.50	$112.50	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Professional		$112.50	$112.50	$112.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $89.92 / $3,479.91	Facility		$89.92	$89.92	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $143.79 / $282.43	Professional		$61.11	$143.79	$282.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $114.18 / $332.00	Facility		$64.00	$114.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $107.41 / $159.71	Professional		$90.06	$107.41	$159.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $91.89 / $158.24	Professional		$64.12	$91.89	$158.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $555.00 / $3,479.91	Facility		$89.92	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $130.56 / $276.63	Professional		$73.70	$130.56	$276.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $97.66 / $214.30	Professional		$70.25	$97.66	$214.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $84.30 / $268.10	Facility		$84.30	$84.30	$268.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $104.15 / $185.56	Professional		$64.12	$104.15	$185.56