Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $143.05 / $266.39	Facility		$89.01	$143.05	$266.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $125.62 / $196.63	Professional		$101.40	$125.62	$196.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $106.02 / $191.51	Professional		$0.79	$106.02	$191.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $188.54 / $188.54 / $188.54	Facility		$188.54	$188.54	$188.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $188.54 / $188.54 / $188.54	Professional		$188.54	$188.54	$188.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $104.82 / $269.37	Professional		$86.35	$104.82	$269.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $187.34 / $383.72	Facility		$72.00	$187.34	$383.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.54 / $259.39 / $474.10	Professional		$170.54	$259.39	$474.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.79 / $144.11 / $144.11	Facility		$125.79	$144.11	$144.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $118.01 / $171.49	Professional		$46.63	$118.01	$171.49
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 $78.73 / $148.47 / $317.86	Professional		$78.73	$148.47	$317.86
Optum Facility/Professional Professional Modifier Low / Median / High Price $129.59 / $150.00 / $281.13	Professional		$129.59	$150.00	$281.13
United Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $166.23 / $299.05	Professional		$101.99	$166.23	$299.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.11 / $147.99 / $177.59	Facility		$144.11	$147.99	$177.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $125.79 / $301.31	Professional		$59.98	$125.79	$301.31