Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $59.86 / $261.79	Facility		$16.39	$59.86	$261.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $46.23 / $76.72	Professional		$24.16	$46.23	$76.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $90.83 / $90.83	Facility		$90.83	$90.83	$90.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $90.83 / $90.83	Professional		$90.83	$90.83	$90.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $50.02 / $50.02	Facility		$50.02	$50.02	$50.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $50.29 / $151.25	Professional		$50.29	$50.29	$151.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $69.97 / $332.00	Facility		$35.33	$69.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $88.82 / $134.15	Professional		$63.28	$88.82	$134.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $52.87 / $52.87	Facility		$36.00	$52.87	$52.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $61.86 / $108.69	Professional		$52.87	$61.86	$108.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $50.02 / $74,999.25	Facility		$50.02	$50.02	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.29 / $56.85 / $151.25	Professional		$50.29	$56.85	$151.25
United Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $73.45 / $162.68	Professional		$55.51	$73.45	$162.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $46.16 / $82.22	Facility		$43.87	$46.16	$82.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $71.65 / $123.05	Professional		$46.16	$71.65	$123.05