Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $416.87 / $1,584.89	Facility		$85.11	$416.87	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $141.25	Professional		$81.28	$104.71	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $102.33	Professional		$37.15	$58.88	$102.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $309.03 / $1,000.00	Facility		$8.51	$309.03	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $478.63	Professional		$56.23	$147.91	$478.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $199.53 / $281.84	Facility		$173.78	$199.53	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $239.88	Professional		$63.10	$93.33	$239.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $147.91	Professional		$79.43	$109.65	$147.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,621.81 / $2,344.23	Facility		$57.54	$1,621.81	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $223.87	Professional		$42.66	$72.44	$223.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $147.91	Facility		$51.29	$109.65	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $199.53	Professional		$79.43	$128.82	$199.53