Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $181.97	Facility		$72.44	$138.04	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $181.97	Professional		$72.44	$128.82	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $223.87	Professional		$53.70	$67.61	$223.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $138.04	Facility		$128.82	$138.04	$138.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $53,703.18	Facility		$275.42	$275.42	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $831.76	Professional		$141.25	$141.25	$831.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $457.09	Facility		$112.20	$177.83	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $389.05	Professional		$138.04	$251.19	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $275.42	Professional		$117.49	$162.18	$275.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $346.74	Professional		$114.82	$173.78	$346.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Facility		$112.20	$112.20	$181.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $275.42	Professional		$97.72	$181.97	$275.42