Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $113.46 / $129.72	Facility		$97.31	$113.46	$129.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $106.34 / $137.35	Professional		$94.55	$106.34	$137.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $115.17 / $202.13	Professional		$97.89	$115.17	$202.13
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 / $131.80 / $204.98	Professional		$99.85	$131.80	$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 / $113.84 / $301.83	Professional		$107.43	$113.84	$301.83
United Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $146.37 / $305.89	Professional		$98.12	$146.37	$305.89
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