Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $52.83 / $102.29	Facility		$47.07	$52.83	$102.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $55.66 / $102.29	Professional		$47.07	$55.66	$102.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $69.12 / $173.83	Professional		$69.12	$69.12	$173.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $90.11 / $90.11	Facility		$83.80	$90.11	$90.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $90.11 / $90.11	Professional		$90.11	$90.11	$90.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $126.76	Facility		$126.76	$126.76	$126.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $80.26	Professional		$44.13	$44.13	$80.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $243.38 / $332.00	Facility		$108.17	$243.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $81.13 / $197.95	Professional		$55.85	$81.13	$197.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $60.23 / $60.23	Facility		$60.23	$60.23	$60.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $65.02 / $77.56	Professional		$60.23	$65.02	$77.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $555.00 / $74,999.25	Facility		$126.76	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $66.84 / $163.72	Professional		$44.13	$66.84	$163.72
United Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $53.96 / $98.92	Professional		$35.97	$53.96	$98.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $65.02 / $77.40	Facility		$65.02	$65.02	$77.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $65.02 / $69.08	Professional		$60.23	$65.02	$69.08