Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $478.63	Facility		$128.82	$234.42	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $426.58	Professional		$120.23	$151.36	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $467.74	Professional		$123.03	$154.88	$467.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $213.80	Professional		$100.00	$114.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $4,168.69	Facility		$204.17	$281.84	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $831.76	Professional		$128.82	$288.40	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $302.00	Facility		$72.44	$112.20	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $323.59	Professional		$165.96	$218.78	$323.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $346.74	Professional		$131.83	$218.78	$346.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.49 / $53,703.18	Facility		$141.25	$158.49	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $389.05	Professional		$181.97	$218.78	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $9,120.11	Facility		$5,011.87	$7,244.36	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $524.81	Professional		$125.89	$181.97	$524.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $1,445.44	Facility		$112.20	$120.23	$1,445.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $398.11	Professional		$120.23	$218.78	$398.11