Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $76.05 / $137.13	Facility		$52.71	$76.05	$137.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $56.71 / $100.00	Professional		$44.11	$56.71	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $67.09 / $88.20	Professional		$0.79	$67.09	$88.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Facility		$78.91	$78.91	$78.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $97.05	Professional		$78.91	$78.91	$97.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $71.34 / $71.34	Facility		$71.34	$71.34	$71.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $80.66 / $162.55	Professional		$45.87	$80.66	$162.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $115.63 / $332.00	Facility		$58.29	$115.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $107.55 / $160.61	Professional		$75.76	$107.55	$160.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $64.02 / $64.02	Facility		$44.12	$64.02	$64.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $71.70 / $117.37	Professional		$55.93	$71.70	$117.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $71.34 / $74,999.25	Facility		$71.34	$71.34	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $83.93 / $177.38	Professional		$52.27	$83.93	$177.38
United Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $80.03 / $170.67	Professional		$54.42	$80.03	$170.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $64.02 / $120.81	Facility		$51.91	$64.02	$120.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $76.66 / $137.93	Professional		$55.94	$76.66	$137.93