Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $239.88 / $380.19	Facility		$125.89	$239.88	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $218.78	Professional		$93.33	$107.15	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $323.59	Facility		$125.89	$125.89	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $295.12	Professional		$61.66	$63.10	$295.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $125.89	Facility		$75.86	$125.89	$125.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $125.89	Professional		$91.20	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $269.15 / $1,348.96	Facility		$95.50	$269.15	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $776.25	Professional		$75.86	$181.97	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $125.89 / $346.74	Facility		$61.66	$125.89	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $245.47	Professional		$58.88	$87.10	$245.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $204.17	Professional		$107.15	$125.89	$204.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $50,118.72	Facility		$154.88	$234.42	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $151.36	Facility		$75.86	$112.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $190.55	Professional		$52.48	$75.86	$190.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $363.08	Facility		$107.15	$144.54	$363.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $426.58	Professional		$107.15	$134.90	$426.58