Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $111.79 / $182.69	Facility		$75.95	$111.79	$182.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $83.19 / $120.15	Professional		$66.63	$83.19	$120.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $96.01 / $133.35	Professional		$0.79	$96.01	$133.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $123.74 / $123.74	Facility		$123.74	$123.74	$123.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $123.74 / $145.71	Professional		$123.74	$123.74	$145.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.52 / $120.74 / $249.13	Professional		$67.52	$120.74	$249.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $184.36 / $332.00	Facility		$93.41	$184.36	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $161.69 / $242.46	Professional		$114.37	$161.69	$242.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $96.25 / $96.25	Facility		$69.01	$96.25	$96.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $107.80 / $174.67	Professional		$83.24	$107.80	$174.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $74,999.25	Facility		$113.46	$113.46	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $125.00 / $264.67	Professional		$73.84	$125.00	$264.67
United Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $121.68 / $237.50	Professional		$81.61	$121.68	$237.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $96.25 / $190.67	Facility		$81.19	$96.25	$190.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $117.52 / $215.75	Professional		$93.77	$117.52	$215.75