Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $173.78	Facility		$79.43	$117.49	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $181.97	Professional		$77.62	$91.20	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $162.18	Professional		$70.79	$87.10	$162.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Professional		$125.89	$125.89	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $53,703.18	Facility		$138.04	$138.04	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $295.12	Professional		$83.18	$123.03	$295.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $302.00	Facility		$79.43	$125.89	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $194.98	Professional		$109.65	$141.25	$194.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Facility		$85.11	$85.11	$120.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $177.83	Professional		$74.13	$104.71	$177.83
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
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $199.53	Professional		$109.65	$125.89	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $93.33	Facility		$60.26	$74.13	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $204.17	Professional		$70.79	$97.72	$204.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $218.78	Facility		$70.79	$91.20	$218.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $218.78	Professional		$74.13	$97.72	$218.78