Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $184.14 / $265.14	Facility		$145.58	$184.14	$265.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $184.14 / $486.09	Professional		$112.39	$184.14	$486.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $280.10 / $591.01	Professional		$200.00	$280.10	$591.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $47.23 / $613.99	Facility		$47.23	$47.23	$613.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $47.23 / $613.99	Professional		$47.23	$47.23	$613.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $45.45 / $45.45	Professional		$36.36	$45.45	$45.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $27.56 / $254.32	Professional		$25.94	$27.56	$254.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $555.00 / $74,999.25	Facility		$64.00	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $66.81 / $66.81	Professional		$37.47	$66.81	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $26.14 / $44.59	Professional		$16.18	$26.14	$44.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $259.41 / $259.41	Facility		$25.00	$259.41	$259.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $45.45 / $259.41	Professional		$25.94	$45.45	$259.41