Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $238.50 / $427.50	Facility		$105.00	$238.50	$427.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $98.63 / $127.50	Professional		$79.50	$98.63	$127.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $60.00 / $224.96	Professional		$0.03	$60.00	$224.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $150.00 / $150.00	Professional		$109.50	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $303.85 / $389.35	Facility		$180.00	$303.85	$389.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $199.07 / $723.00	Professional		$87.75	$199.07	$723.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $274.50 / $346.00	Facility		$150.00	$274.50	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $196.50 / $325.50	Professional		$157.50	$196.50	$325.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $148.15 / $271.99	Professional		$127.50	$148.15	$271.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $366.08 / $524.34	Facility		$183.26	$366.08	$524.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $163.50 / $345.00	Professional		$97.50	$163.50	$345.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $227.34	Professional		$63.00	$90.00	$227.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $172.50 / $172.50	Facility		$150.00	$172.50	$172.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $150.00 / $180.29	Professional		$127.50	$150.00	$180.29