Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $67.70 / $107.71	Facility		$45.44	$67.70	$107.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $49.78 / $71.39	Professional		$40.01	$49.78	$71.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.34 / $82.34 / $82.34	Professional	25	$82.34	$82.34	$82.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $55.75 / $93.58	Professional		$43.53	$55.75	$93.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $72.93 / $72.93	Facility		$72.93	$72.93	$72.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $72.93 / $85.24	Professional		$72.93	$72.93	$85.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $66.28 / $66.28	Facility		$66.28	$66.28	$66.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $73.36 / $152.24	Professional		$40.22	$73.36	$152.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $81.69 / $332.00	Facility		$53.55	$81.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $93.86 / $140.15	Professional		$66.11	$93.86	$140.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $55.87 / $55.87	Facility		$41.29	$55.87	$55.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $64.25 / $104.70	Professional		$49.08	$64.25	$104.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $66.28 / $74,999.25	Facility		$66.28	$66.28	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $76.62 / $152.24	Professional		$43.95	$76.62	$152.24
United Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $67.95 / $141.82	Professional		$48.76	$67.95	$141.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $55.87 / $72.29	Facility		$48.58	$55.87	$72.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $67.26 / $123.48	Professional		$55.87	$67.26	$123.48