Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $97.22 / $127.83	Facility		$83.29	$97.22	$127.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $99.59 / $122.60	Professional		$85.65	$99.59	$122.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $103.81 / $174.26	Professional		$83.59	$103.81	$174.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $172.11 / $172.11 / $172.11	Facility		$172.11	$172.11	$172.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $172.11 / $172.11 / $172.11	Professional		$172.11	$172.11	$172.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $159.49 / $159.49	Facility		$159.49	$159.49	$159.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $561.29	Professional		$141.06	$141.06	$561.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $135.02 / $250.00 / $445.55	Facility		$135.02	$250.00	$445.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $247.82 / $380.75	Professional		$179.60	$247.82	$380.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $147.51 / $147.51	Facility		$98.36	$147.51	$147.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $169.89 / $264.22	Professional		$128.69	$169.89	$264.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.49 / $159.49 / $74,999.25	Facility		$159.49	$159.49	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $141.06 / $294.54	Professional		$94.29	$141.06	$294.54
United Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $132.44 / $253.53	Professional		$90.79	$132.44	$253.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.84 / $129.84 / $169.89	Facility		$129.84	$129.84	$169.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $169.89 / $286.56	Professional		$129.84	$169.89	$286.56