Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $162.18	Facility		$64.57	$109.65	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $177.83	Professional		$56.23	$70.79	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $199.53	Professional		$66.07	$83.18	$199.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $87.10	Facility		$11.22	$11.22	$87.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $87.10 / $97.72	Professional		$11.22	$87.10	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $645.65	Facility		$107.15	$223.87	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $323.59	Professional		$57.54	$117.49	$323.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $83.18 / $223.87	Facility		$53.70	$83.18	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $147.91	Professional		$75.86	$100.00	$147.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $81.28 / $125.89	Professional		$23.99	$81.28	$125.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $123.03 / $53,703.18	Facility		$61.66	$123.03	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $104.71	Professional		$81.28	$95.50	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $3,715.35	Facility		$2,041.74	$2,951.21	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $177.83	Professional		$50.12	$81.28	$177.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $54.95 / $120.23	Facility		$20.42	$54.95	$120.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $144.54	Professional		$54.95	$85.11	$144.54