Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $92.76 / $127.41	Facility		$75.65	$92.76	$127.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $80.34 / $173.70	Professional		$75.65	$80.34	$173.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $74.62 / $161.52	Professional		$60.09	$74.62	$161.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $102.14 / $4,050.00	Facility		$102.14	$102.14	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $102.14 / $102.14	Professional		$102.14	$102.14	$102.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $81.45 / $3,479.91	Facility		$81.45	$81.45	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $130.51 / $256.48	Professional		$55.29	$130.51	$256.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $106.92 / $332.00	Facility		$64.00	$106.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $98.26 / $145.19	Professional		$82.12	$98.26	$145.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $83.53 / $143.28	Professional		$49.34	$83.53	$143.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $555.00 / $3,479.91	Facility		$81.45	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $119.64 / $250.90	Professional		$66.20	$119.64	$250.90
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 $65.77 / $91.72 / $217.83	Professional		$65.77	$91.72	$217.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $76.33 / $242.32	Facility		$76.33	$76.33	$242.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $94.68 / $168.01	Professional		$58.05	$94.68	$168.01