Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $125.61 / $225.15	Facility		$55.30	$125.61	$225.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $47.40 / $67.15	Professional		$41.87	$47.40	$67.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $31.60 / $118.48	Professional		$0.03	$31.60	$118.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $79.00 / $79.00	Professional		$57.67	$79.00	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $166.89 / $284.13	Facility		$94.80	$166.89	$284.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $104.78 / $380.78	Professional		$63.20	$104.78	$380.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $165.90 / $332.00	Facility		$79.00	$165.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $103.49 / $171.43	Professional		$82.95	$103.49	$171.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $78.02 / $143.25	Professional		$67.15	$78.02	$143.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $193.63 / $597.00	Facility		$142.07	$193.63	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $86.11 / $181.70	Professional		$51.35	$86.11	$181.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $47.40 / $124.02	Professional		$33.18	$47.40	$124.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $90.85 / $90.85	Facility		$79.00	$90.85	$90.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $79.00 / $94.95	Professional		$67.15	$79.00	$94.95