Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $70.79	Facility		$48.98	$48.98	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $83.18	Professional		$48.98	$66.07	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $177.83	Professional		$57.54	$72.44	$177.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $69.18	Facility		$30.90	$30.90	$69.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $100.00	Professional		$30.90	$69.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $181.97 / $1,071.52	Facility		$107.15	$181.97	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $489.78	Professional		$57.54	$125.89	$489.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $1,071.52	Facility		$120.23	$323.59	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $724.44	Professional		$229.09	$426.58	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $257.04	Professional		$109.65	$169.82	$257.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
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 $93.33 / $275.42 / $758.58	Professional		$93.33	$275.42	$758.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $257.04	Facility		$102.33	$134.90	$257.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $316.23	Professional		$102.33	$190.55	$316.23