Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $331.13	Facility		$125.89	$204.17	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $389.05	Professional		$102.33	$134.90	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $407.38	Professional		$109.65	$144.54	$407.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $141.25	Facility		$36.31	$36.31	$141.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $141.25 / $177.83	Professional		$36.31	$141.25	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $2,454.71	Facility		$194.98	$354.81	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $1,348.96	Professional		$112.20	$263.03	$1,348.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $371.54	Facility		$89.13	$138.04	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $269.15	Professional		$141.25	$177.83	$269.15
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 / $162.18 / $229.09	Professional		$57.54	$162.18	$229.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $53,703.18	Facility		$100.00	$199.53	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $186.21	Professional		$147.91	$173.78	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,148.15	Facility		$630.96	$912.01	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $363.08	Professional		$109.65	$162.18	$363.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $100.00 / $794.33	Facility		$48.98	$100.00	$794.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $389.05	Professional		$100.00	$165.96	$389.05