Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $457.09	Facility		$72.44	$97.72	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $239.88	Professional		$64.57	$85.11	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $169.82	Professional		$72.44	$89.13	$169.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $120.23	Professional		$100.00	$100.00	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $158.49 / $50,118.72	Facility		$60.26	$158.49	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $239.88	Professional		$74.13	$97.72	$239.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $63.10 / $141.25	Facility		$26.92	$63.10	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $177.83	Professional		$75.86	$120.23	$177.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $81.28 / $112.20	Facility		$66.07	$81.28	$112.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $158.49	Professional		$66.07	$87.10	$158.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $50,118.72 / $75,857.76	Facility		$117.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $181.97	Professional		$100.00	$114.82	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $72.44	Facility		$45.71	$57.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $181.97	Professional		$57.54	$87.10	$181.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $407.38	Facility		$57.54	$75.86	$407.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $181.97	Professional		$66.07	$93.33	$181.97