Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $265.44 / $267.97	Facility		$35.60	$265.44	$267.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $122.37 / $159.27	Professional		$52.49	$122.37	$159.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $214.12 / $214.12	Facility		$214.12	$214.12	$214.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $214.12	Professional		$214.12	$214.12	$214.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $328.97	Professional		$128.26	$128.26	$328.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.11 / $204.20 / $292.02	Professional		$151.11	$204.20	$292.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $142.36 / $142.36	Facility		$134.57	$142.36	$142.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $153.41 / $297.89	Professional		$111.47	$153.41	$297.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $555.00	Facility		$97.72	$97.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $128.26 / $328.97	Professional		$124.75	$128.26	$328.97
United Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $163.54 / $383.38	Professional		$120.90	$163.54	$383.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.93 / $85.93 / $134.57	Facility		$85.93	$85.93	$134.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $176.75 / $296.64	Professional		$132.56	$176.75	$296.64