Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $181.97	Facility		$77.62	$125.89	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $239.88	Professional		$63.10	$85.11	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $229.09	Professional		$69.18	$89.13	$229.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $91.20	Facility		$19.05	$19.05	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $91.20 / $109.65	Professional		$19.05	$91.20	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $954.99	Facility		$147.91	$234.42	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $549.54	Professional		$79.43	$154.88	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $295.12	Facility		$70.79	$109.65	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $204.17	Professional		$104.71	$138.04	$204.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $141.25	Professional		$57.54	$97.72	$141.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $53,703.18	Facility		$64.57	$128.82	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $117.49	Professional		$91.20	$107.15	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,584.89	Facility		$851.14	$1,230.27	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $194.98	Professional		$69.18	$102.33	$194.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $323.59	Facility		$48.98	$57.54	$323.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $239.88	Professional		$61.66	$97.72	$239.88