Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $104.61 / $153.08	Facility		$62.01	$104.61	$153.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $71.20 / $106.88	Professional		$61.21	$71.20	$106.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.19 / $162.19 / $162.19	Professional	25	$162.19	$162.19	$162.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $61.54 / $133.08	Professional		$47.07	$61.54	$133.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.03 / $115.03 / $115.03	Facility		$115.03	$115.03	$115.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $115.03 / $115.03	Professional		$115.03	$115.03	$115.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $96.40 / $209.53	Professional		$57.34	$96.40	$209.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.33 / $98.74 / $332.00	Facility		$53.33	$98.74	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $133.96 / $200.00	Professional		$94.34	$133.96	$200.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $79.73 / $79.73	Facility		$61.70	$79.73	$79.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $89.31 / $146.36	Professional		$69.75	$89.31	$146.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $74,999.25	Facility		$100.27	$100.27	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $98.90 / $211.87	Professional		$61.32	$98.90	$211.87
United Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $89.86 / $188.80	Professional		$61.27	$89.86	$188.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $79.73 / $120.88	Facility		$72.59	$79.73	$120.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $98.47 / $184.51	Professional		$72.89	$98.47	$184.51