Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $173.78	Facility		$104.71	$123.03	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $144.54	Professional		$75.86	$107.15	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $190.55	Professional		$50.12	$60.26	$190.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $128.82	Facility		$117.49	$128.82	$128.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $50,118.72	Facility		$245.47	$245.47	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $151.36	Professional		$61.66	$61.66	$151.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $588.84	Facility		$154.88	$257.04	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $309.03	Professional		$154.88	$223.87	$309.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
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 $102.33 / $147.91 / $147.91	Professional		$102.33	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $138.04	Professional		$50.12	$75.86	$138.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $87.10	Facility		$79.43	$81.28	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $85.11	Professional		$79.43	$81.28	$85.11