Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $181.94 / $326.13	Facility		$80.09	$181.94	$326.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $75.23 / $97.27	Professional		$60.65	$75.23	$97.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $114.43 / $267.77	Facility		$55.00	$114.43	$267.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $174.33	Professional		$45.77	$45.77	$174.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Facility		$114.43	$114.43	$114.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $114.43 / $114.43	Professional		$83.53	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $231.77 / $296.99	Facility		$137.32	$231.77	$296.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $167.32 / $551.54	Professional		$66.94	$167.32	$551.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $205.97 / $346.00	Facility		$114.43	$205.97	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $151.05 / $248.31	Professional		$120.15	$151.05	$248.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $114.43 / $207.50	Professional		$97.27	$114.43	$207.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $279.24 / $400.06	Facility		$139.97	$279.24	$400.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $124.73 / $263.52	Professional		$74.38	$124.73	$263.52
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $177.37	Professional		$48.06	$68.66	$177.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $131.59 / $131.59	Facility		$114.43	$131.59	$131.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $114.43 / $137.54	Professional		$97.27	$114.43	$137.54