Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $107.15	Facility		$57.54	$74.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $81.28	Professional		$57.54	$66.07	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $128.82	Professional		$58.88	$72.44	$128.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $53,703.18	Facility		$117.49	$117.49	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $165.96	Professional		$95.50	$95.50	$165.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $269.15	Facility		$69.18	$112.20	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $251.19	Professional		$128.82	$177.83	$251.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $100.00	Facility		$61.66	$100.00	$100.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $165.96	Professional		$87.10	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $173.78	Professional		$53.70	$83.18	$173.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $114.82	Facility		$61.66	$81.28	$114.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $181.97	Professional		$64.57	$112.20	$181.97