Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $114.15 / $127.26	Facility		$77.09	$114.15	$127.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $116.28 / $143.22	Professional		$77.09	$116.28	$143.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.94 / $133.38 / $211.25	Professional		$110.94	$133.38	$211.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $178.16 / $178.16	Facility		$178.16	$178.16	$178.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $178.16 / $178.16	Professional		$178.16	$178.16	$178.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $139.07 / $139.07	Facility		$139.07	$139.07	$139.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.43	Professional		$107.43	$107.43	$107.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.84 / $250.00 / $437.39	Facility		$131.84	$250.00	$437.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $191.77 / $279.50	Professional		$131.84	$191.77	$279.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.85 / $114.15 / $119.40	Facility		$99.85	$114.15	$119.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $127.84 / $204.98	Professional		$99.85	$127.84	$204.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $139.07 / $74,999.25	Facility		$139.07	$139.07	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $109.11 / $298.52	Professional		$107.43	$109.11	$298.52
United Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $142.69 / $293.07	Professional		$102.64	$142.69	$293.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.15 / $131.80 / $131.80	Facility		$114.15	$131.80	$131.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.07 / $131.80 / $222.32	Professional		$108.07	$131.80	$222.32