Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $64.57	Facility		$25.70	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $97.72	Professional		$52.48	$72.44	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $117.49	Professional		$58.88	$74.13	$117.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $50,118.72	Facility		$120.23	$120.23	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $199.53	Professional		$63.10	$63.10	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $295.12 / $660.69	Facility		$10.00	$295.12	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $588.84	Professional		$295.12	$426.58	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $524.81	Professional		$169.82	$398.11	$524.81
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 $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $457.09	Professional		$120.23	$213.80	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $199.53	Facility		$169.82	$199.53	$199.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $489.78	Professional		$169.82	$199.53	$489.78