Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $59.63 / $130.10	Facility		$33.31	$59.63	$130.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $42.53 / $74.80	Professional		$31.39	$42.53	$74.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.05 / $78.05 / $78.05	Professional	25	$78.05	$78.05	$78.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $48.50 / $92.12	Professional		$38.93	$48.50	$92.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $36.04 / $36.04	Facility		$36.04	$36.04	$36.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $60.88	Professional		$36.04	$36.04	$60.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $65.48 / $65.48	Facility		$65.48	$65.48	$65.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $56.68 / $136.00	Professional		$33.65	$56.68	$136.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $106.28 / $332.00	Facility		$53.68	$106.28	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $114.49 / $173.06	Professional		$81.63	$114.49	$173.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $68.15 / $68.15	Facility		$41.02	$68.15	$68.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $76.33 / $126.46	Professional		$40.72	$76.33	$126.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $65.48 / $74,999.25	Facility		$65.48	$65.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $67.13 / $133.87	Professional		$36.29	$67.13	$133.87
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $54.67 / $102.36	Professional		$36.79	$54.67	$102.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $68.15 / $83.69	Facility		$48.26	$68.15	$83.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $81.23 / $131.99	Professional		$48.26	$81.23	$131.99