Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.96 / $174.39 / $199.55	Facility		$151.96	$174.39	$199.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $151.96 / $243.38	Professional		$145.01	$151.96	$243.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $280.27 / $280.27	Facility		$280.27	$280.27	$280.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $280.27 / $280.27	Professional		$280.27	$280.27	$280.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $280.50 / $460.91	Facility		$187.00	$280.50	$460.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.85 / $313.89 / $569.48	Professional		$204.85	$313.89	$569.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.76 / $174.39 / $174.39	Facility		$156.76	$174.39	$174.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.39 / $200.97 / $339.06	Professional		$174.39	$200.97	$339.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $172.42 / $480.91	Professional		$164.86	$172.42	$480.91
United Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $230.33 / $447.47	Professional		$165.05	$230.33	$447.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $174.39 / $191.04 / $208.89	Facility		$174.39	$191.04	$208.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $156.76 / $191.04 / $201.01	Professional		$156.76	$191.04	$201.01