Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $97.45 / $106.26	Facility		$65.26	$97.45	$106.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $99.21 / $119.88	Professional		$65.26	$99.21	$119.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $113.00 / $183.35	Professional		$94.17	$113.00	$183.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.54 / $150.54 / $150.54	Facility		$150.54	$150.54	$150.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $150.54 / $150.54	Professional		$150.54	$150.54	$150.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Facility		$118.00	$118.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $116.08 / $227.87 / $382.97	Facility		$116.08	$227.87	$382.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.08 / $163.72 / $246.09	Professional		$116.08	$163.72	$246.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $97.45 / $101.94	Facility		$85.25	$97.45	$101.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $109.15 / $175.00	Professional		$85.25	$109.15	$175.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $118.00 / $74,999.25	Facility		$118.00	$118.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $92.55 / $257.91	Professional		$92.35	$92.55	$257.91
United Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $120.82 / $244.87	Professional		$83.64	$120.82	$244.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $112.53 / $112.53	Facility		$97.45	$112.53	$112.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $112.53 / $189.81	Professional		$92.27	$112.53	$189.81