Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $63.98 / $71.25	Facility		$42.28	$63.98	$71.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $63.98 / $144.33	Professional		$42.28	$63.98	$144.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $61.59 / $136.58	Professional		$47.11	$61.59	$136.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.47 / $100.47 / $100.47	Facility		$100.47	$100.47	$100.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $100.47 / $100.47	Professional		$100.47	$100.47	$100.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $81.97 / $81.97	Facility		$81.97	$81.97	$81.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $94.77 / $332.00	Facility		$47.00	$94.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $97.84 / $146.88	Professional		$72.68	$97.84	$146.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $79.19 / $133.01	Professional		$53.82	$79.19	$133.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $555.00 / $74,999.25	Facility		$81.97	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $157.75	Professional		$64.28	$64.28	$157.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $84.61 / $192.47	Professional		$64.22	$84.61	$192.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.53 / $77.53 / $77.53	Facility		$77.53	$77.53	$77.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $77.53 / $133.01	Professional		$53.82	$77.53	$133.01