Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $223.87 / $389.05	Facility		$100.00	$223.87	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $154.88	Professional		$77.62	$112.20	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $162.18	Professional		$85.11	$102.33	$162.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $50,118.72	Facility		$79.43	$257.04	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $776.25	Professional		$91.20	$177.83	$776.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $218.78	Facility		$26.92	$43.65	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $186.21	Professional		$44.67	$120.23	$186.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Facility		$154.88	$154.88	$218.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $302.00	Professional		$107.15	$181.97	$302.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $295.12	Professional		$107.15	$151.36	$295.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $218.78	Facility		$89.13	$154.88	$218.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $323.59	Professional		$114.82	$177.83	$323.59