Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.56 / $149.96 / $181.79	Facility		$136.56	$149.96	$181.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $147.63 / $191.71	Professional		$131.68	$147.63	$191.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $161.46 / $285.32	Professional		$137.24	$161.46	$285.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $253.27 / $253.27 / $253.27	Facility		$253.27	$253.27	$253.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $253.27 / $253.27 / $253.27	Professional		$253.27	$253.27	$253.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $182.89 / $182.89	Facility		$182.89	$182.89	$182.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $274.43 / $573.80	Facility		$172.91	$274.43	$573.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $251.93 / $366.57	Professional		$172.91	$251.93	$366.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $149.96 / $157.78	Facility		$131.16	$149.96	$157.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $173.15 / $269.29	Professional		$131.16	$173.15	$269.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $182.89 / $74,999.25	Facility		$182.89	$182.89	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $159.76 / $432.02	Professional		$141.06	$159.76	$432.02
United Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $190.72 / $411.86	Professional		$129.30	$190.72	$411.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $149.96 / $173.15 / $173.15	Facility		$149.96	$173.15	$173.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $173.15 / $292.06	Professional		$141.97	$173.15	$292.06