Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $91.09 / $144.11	Facility		$59.97	$91.09	$144.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $83.98 / $124.48	Professional		$70.76	$83.98	$124.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $71.48 / $129.74	Professional		$0.79	$71.48	$129.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.28 / $125.28 / $125.28	Facility		$125.28	$125.28	$125.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $125.28 / $125.28	Professional		$125.28	$125.28	$125.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $73.02 / $218.30	Professional		$57.71	$73.02	$218.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $100.45 / $332.00	Facility		$47.00	$100.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $135.54 / $248.45	Professional		$89.37	$135.54	$248.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $75.30 / $75.30	Facility		$65.66	$75.30	$75.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $81.69 / $89.61	Professional		$31.38	$81.69	$89.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $102.92 / $218.30	Professional		$51.99	$102.92	$218.30
Optum Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $97.06 / $186.77	Professional		$75.00	$97.06	$186.77
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $101.23 / $197.52	Professional		$67.48	$101.23	$197.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $77.25 / $169.35	Facility		$75.30	$77.25	$169.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $77.25 / $297.10	Professional		$31.38	$77.25	$297.10