Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $204.17 / $323.59	Facility		$91.20	$204.17	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $112.20	Professional		$64.57	$85.11	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $245.47	Professional		$134.90	$134.90	$245.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $107.15	Professional		$77.62	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $169.82 / $398.11	Facility		$69.18	$169.82	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $512.86	Professional		$107.15	$154.88	$512.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $407.38	Facility		$107.15	$177.83	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Professional		$112.20	$141.25	$208.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $190.55	Professional		$85.11	$104.71	$190.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $50,118.72	Facility		$138.04	$199.53	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $128.82	Facility		$95.50	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $141.25	Professional		$44.67	$64.57	$141.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $123.03	Facility		$64.57	$107.15	$123.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $213.80	Professional		$85.11	$107.15	$213.80