Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $133.75 / $229.69	Facility		$25.76	$133.75	$229.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $40.99 / $194.49	Professional		$22.48	$40.99	$194.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.96 / $132.19	Professional		$11.84	$14.96	$132.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $183.24 / $183.24	Facility		$183.24	$183.24	$183.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.24 / $183.24 / $183.24	Professional		$183.24	$183.24	$183.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $142.05 / $14,648.00	Facility		$142.05	$142.05	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $159.32 / $404.58	Professional		$82.72	$159.32	$404.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.58 / $250.00 / $346.00	Facility		$136.58	$250.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $169.29 / $347.62	Professional		$146.06	$169.29	$347.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $152.51 / $265.23	Professional		$24.44	$152.51	$265.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $555.00 / $74,999.25	Facility		$142.05	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $154.97 / $322.18	Professional		$15.43	$154.97	$322.18
United Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $138.34 / $285.79	Professional		$96.39	$138.34	$285.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $134.99 / $134.99	Facility		$32.76	$134.99	$134.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $134.99 / $296.50	Professional		$33.15	$134.99	$296.50