Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $162.18 / $977.24	Facility		$53.70	$162.18	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $112.20 / $199.53	Professional		$41.69	$112.20	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $234.42	Professional		$162.18	$208.93	$234.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $186.21	Professional		$63.10	$63.10	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $50,118.72	Facility		$70.79	$70.79	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $141.25 / $338.84	Professional		$48.98	$141.25	$338.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $95.50 / $181.97	Facility		$43.65	$95.50	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $275.42	Professional		$151.36	$190.55	$275.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Facility		$15.14	$15.14	$15.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $302.00	Professional		$100.00	$165.96	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $50,118.72 / $75,857.76	Facility		$32.36	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $338.84	Professional		$147.91	$181.97	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $616.60	Facility		$426.58	$501.19	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $104.71 / $199.53	Professional		$40.74	$104.71	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $117.49 / $147.91	Facility		$15.14	$117.49	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $302.00	Professional		$104.71	$131.83	$302.00