Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $69.73 / $108.50	Facility		$47.91	$69.73	$108.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $69.73 / $138.30	Professional		$41.91	$69.73	$138.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $84.04 / $166.48	Professional		$69.50	$84.04	$166.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $67.84 / $4,050.00	Facility		$67.84	$67.84	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $67.84 / $107.47	Professional		$67.84	$67.84	$107.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $81.13 / $14,648.00	Facility		$81.13	$81.13	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $99.57 / $221.84	Professional		$54.02	$99.57	$221.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $72.55 / $332.00	Facility		$45.00	$72.55	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $103.81 / $155.35	Professional		$89.76	$103.81	$155.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $99.47 / $156.04	Professional		$53.74	$99.47	$156.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $81.13 / $74,999.25	Facility		$81.13	$81.13	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $104.32 / $237.25	Professional		$57.67	$104.32	$237.25
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 $67.11 / $98.80 / $185.93	Professional		$67.11	$98.80	$185.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $53.69 / $173.70	Facility		$53.69	$53.69	$173.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $107.26 / $156.04	Professional		$53.74	$107.26	$156.04