Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $81.27 / $139.82	Facility		$31.52	$81.27	$139.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $50.19 / $118.28	Professional		$31.52	$50.19	$118.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $28.70 / $92.17	Professional		$21.75	$28.70	$92.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.26 / $100.26 / $100.26	Facility		$100.26	$100.26	$100.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $100.26 / $100.26	Professional		$100.26	$100.26	$100.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $14,648.00	Facility		$86.50	$86.50	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $81.66 / $213.75	Professional		$44.38	$81.66	$213.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $171.30 / $332.00	Facility		$83.99	$171.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $104.01 / $213.29	Professional		$89.73	$104.01	$213.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $93.78 / $161.60	Professional		$29.96	$93.78	$161.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $189.95 / $74,999.25	Facility		$86.50	$189.95	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $75.80 / $186.40	Professional		$40.31	$75.80	$186.40
United Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $66.69 / $148.76	Professional		$42.73	$66.69	$148.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $82.25 / $82.25	Facility		$40.19	$82.25	$82.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $82.25 / $180.66	Professional		$40.63	$82.25	$180.66