Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $170.13 / $304.95	Facility		$74.90	$170.13	$304.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $70.34 / $90.95	Professional		$56.71	$70.34	$90.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $135.44 / $280.43	Professional		$108.34	$135.44	$280.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $107.00 / $107.00	Facility		$107.00	$107.00	$107.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $107.00 / $107.00	Professional		$78.11	$107.00	$107.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $226.04 / $385.44	Facility		$128.40	$226.04	$385.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $156.30 / $515.74	Professional		$62.60	$156.30	$515.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $224.70 / $346.00	Facility		$107.00	$224.70	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $140.16 / $232.19	Professional		$112.35	$140.16	$232.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $105.68 / $194.02	Professional		$90.95	$105.68	$194.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.72 / $262.72 / $597.00	Facility		$192.72	$262.72	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $116.63 / $246.10	Professional		$69.55	$116.63	$246.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $162.16	Professional		$44.94	$64.20	$162.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $123.05 / $123.05	Facility		$107.00	$123.05	$123.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $107.00 / $128.61	Professional		$90.95	$107.00	$128.61