Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $151.24 / $261.23	Facility		$74.23	$151.24	$261.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $68.75 / $77.91	Professional		$59.98	$68.75	$77.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $238.32	Facility		$91.66	$91.66	$238.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $45.27 / $153.79	Professional		$45.27	$45.27	$153.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Facility		$91.66	$91.66	$91.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $91.66 / $91.66	Professional		$66.91	$91.66	$91.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $185.84 / $238.13	Facility		$109.99	$185.84	$238.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $133.75 / $441.80	Professional		$59.58	$133.75	$441.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $192.49 / $332.00	Facility		$91.66	$192.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $120.99 / $198.90	Professional		$96.24	$120.99	$198.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $91.66 / $166.21	Professional		$77.91	$91.66	$166.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.16 / $223.90 / $319.58	Facility		$112.16	$223.90	$319.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $99.91 / $260.62	Professional		$73.56	$99.91	$260.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $55.00 / $146.84	Professional		$38.50	$55.00	$146.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $105.41 / $105.41	Facility		$91.66	$105.41	$105.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $91.66 / $124.12	Professional		$77.91	$91.66	$124.12