Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,884.03 / $9,120.11	Facility		$64.57	$2,884.03	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $181.97	Professional		$41.69	$70.79	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $199.53	Professional		$57.54	$74.13	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $114.82	Professional		$67.61	$67.61	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $50,118.72	Facility		$34.67	$83.18	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $281.84	Professional		$57.54	$112.20	$281.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $100.00 / $173.78	Facility		$48.98	$100.00	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $173.78	Professional		$100.00	$120.23	$173.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $112.20 / $190.55	Professional		$63.10	$112.20	$190.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $398.11	Professional		$97.72	$120.23	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $4,897.79	Facility		$912.01	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $181.97	Professional		$51.29	$87.10	$181.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $177.83	Facility		$38.90	$54.95	$177.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $190.55	Professional		$63.10	$100.00	$190.55