Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $263.03	Facility		$158.49	$194.98	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $234.42	Professional		$117.49	$165.96	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $288.40	Professional		$75.86	$91.20	$288.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $194.98 / $194.98	Facility		$181.97	$194.98	$194.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $50,118.72	Facility		$371.54	$371.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $234.42	Professional		$93.33	$93.33	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $912.01	Facility		$234.42	$389.05	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $467.74	Professional		$234.42	$338.84	$467.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $158.49	Professional		$147.91	$158.49	$158.49
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 $154.88 / $223.87 / $223.87	Professional		$154.88	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $213.80	Professional		$77.62	$114.82	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $158.49	Professional		$147.91	$147.91	$158.49