Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $2,041.74	Facility		$100.00	$120.23	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $125.89	Professional		$100.00	$100.00	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $204.17	Professional		$100.00	$100.00	$204.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $117.49	Facility		$109.65	$109.65	$117.49
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 $95.50 / $95.50 / $173.78	Facility		$95.50	$95.50	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Professional		$100.00	$100.00	$114.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $501.19	Facility		$151.36	$194.98	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $257.04	Professional		$147.91	$173.78	$257.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $50,118.72 / $75,857.76	Facility		$125.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Professional		$107.15	$125.89	$199.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $112.20	Facility		$100.00	$100.00	$112.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71