Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $72.73 / $122.77	Facility		$48.30	$72.73	$122.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $54.50 / $78.68	Professional		$42.89	$54.50	$78.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $63.79 / $88.20	Professional		$0.79	$63.79	$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 $43.18 / $80.66 / $162.55	Professional		$43.18	$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 $50.01 / $92.30 / $177.19	Professional		$50.01	$92.30	$177.19
United Facility/Professional Facility Modifier Low / Median / High Price $80.52 / $80.52 / $80.52	Facility		$80.52	$80.52	$80.52
United Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $81.75 / $158.57	Professional		$54.62	$81.75	$158.57
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 / $78.97 / $137.93	Professional		$55.94	$78.97	$137.93