Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.68 / $96.42 / $149.26	Facility		$65.68	$96.42	$149.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $73.08 / $112.06	Professional		$60.86	$73.08	$112.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $75.15 / $127.37	Professional		$59.41	$75.15	$127.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $105.46 / $105.46	Facility		$105.46	$105.46	$105.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $105.46 / $116.35	Professional		$105.46	$105.46	$116.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Facility		$99.60	$99.60	$99.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $99.41 / $205.76	Professional		$57.53	$99.41	$205.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $92.00 / $332.00	Facility		$44.88	$92.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $131.53 / $198.16	Professional		$93.47	$131.53	$198.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $78.29 / $78.29	Facility		$60.76	$78.29	$78.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $90.03 / $145.08	Professional		$68.01	$90.03	$145.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $74,999.25	Facility		$99.60	$99.60	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $105.97 / $210.34	Professional		$61.04	$105.97	$210.34
United Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $92.74 / $188.36	Professional		$64.09	$92.74	$188.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $78.29 / $104.53	Facility		$71.48	$78.29	$104.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $93.21 / $181.71	Professional		$78.29	$93.21	$181.71