Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.29 / $116.50 / $166.88	Facility		$88.29	$116.50	$166.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $106.01 / $348.00	Professional		$80.51	$106.01	$348.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $106.02 / $186.24	Professional		$0.79	$106.02	$186.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $155.99 / $155.99 / $155.99	Facility		$155.99	$155.99	$155.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $155.99 / $155.99	Professional		$155.99	$155.99	$155.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $161.59 / $281.63	Professional		$79.95	$161.59	$281.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $218.23 / $332.00	Facility		$96.99	$218.23	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $120.46 / $237.48	Professional		$98.54	$120.46	$237.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $98.38 / $179.95	Professional		$84.09	$98.38	$179.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $555.00 / $74,999.25	Facility		$117.95	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $153.60 / $283.58	Professional		$78.45	$153.60	$283.58
Optum Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $118.88 / $118.88	Professional		$118.88	$118.88	$118.88
United Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $127.13 / $247.34	Professional		$88.07	$127.13	$247.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.71 / $84.71 / $309.99	Facility		$84.71	$84.71	$309.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $104.29 / $223.83	Professional		$84.71	$104.29	$223.83