Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $97.39 / $183.61	Facility		$60.49	$97.39	$183.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $88.31 / $144.58	Professional		$66.22	$88.31	$144.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.57 / $20.57 / $101.95	Professional	25	$20.57	$20.57	$101.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $73.18 / $129.68	Professional		$0.79	$73.18	$129.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $127.09 / $127.09	Facility		$127.09	$127.09	$127.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.09 / $127.09 / $127.09	Professional		$127.09	$127.09	$127.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $70.91 / $228.22	Professional		$58.90	$70.91	$228.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $131.43 / $332.00	Facility		$57.00	$131.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $181.98 / $332.46	Professional		$119.59	$181.98	$332.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.17 / $101.10 / $101.10	Facility		$88.17	$101.10	$101.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $79.51 / $120.31	Professional		$31.92	$79.51	$120.31
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 $62.87 / $119.59 / $228.22	Professional		$62.87	$119.59	$228.22
Optum Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $112.82 / $189.87	Professional		$87.18	$112.82	$189.87
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $112.60 / $212.06	Professional		$75.00	$112.60	$212.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $103.72 / $124.47	Facility		$101.10	$103.72	$124.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $88.17 / $241.05	Professional		$40.35	$88.17	$241.05