Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $162.18 / $977.24	Facility		$48.98	$162.18	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $239.88	Professional		$39.81	$112.20	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $263.03	Professional		$169.82	$234.42	$263.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $194.98	Professional		$58.88	$58.88	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $50,118.72	Facility		$66.07	$66.07	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $144.54 / $380.19	Professional		$47.86	$144.54	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $114.82 / $181.97	Facility		$41.69	$114.82	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $275.42	Professional		$154.88	$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 / $309.03	Professional		$100.00	$165.96	$309.03
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 $151.36 / $186.21 / $338.84	Professional		$151.36	$186.21	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $954.99	Facility		$660.69	$776.25	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $223.87	Professional		$38.90	$107.15	$223.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $77.62 / $147.91	Facility		$15.14	$77.62	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $269.15	Professional		$102.33	$147.91	$269.15