Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.61 / $74.17 / $146.61	Facility		$43.61	$74.17	$146.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $68.37 / $91.95	Professional		$54.56	$68.37	$91.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $57.85 / $103.86	Professional		$0.79	$57.85	$103.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $101.75 / $101.75	Facility		$101.75	$101.75	$101.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $101.75 / $101.75	Professional		$101.75	$101.75	$101.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $53.91 / $138.00	Professional		$47.13	$53.91	$138.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $99.28 / $332.00	Facility		$44.00	$99.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $137.47 / $250.39	Professional		$90.07	$137.47	$250.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.80 / $76.37 / $76.37	Facility		$66.80	$76.37	$76.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $76.37 / $90.88	Professional		$23.25	$76.37	$90.88
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 $51.08 / $106.13 / $174.52	Professional		$51.08	$106.13	$174.52
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $86.94 / $166.38	Professional		$57.13	$86.94	$166.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.37 / $78.59 / $155.35	Facility		$76.37	$78.59	$155.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $78.59 / $457.88	Professional		$23.25	$78.59	$457.88