Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $213.27 / $382.27	Facility		$93.89	$213.27	$382.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $80.48 / $114.01	Professional		$71.09	$80.48	$114.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $279.68 / $1,207.73	Professional		$160.96	$279.68	$1,207.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $134.13 / $134.13	Facility		$134.13	$134.13	$134.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $134.13 / $134.13	Professional		$97.91	$134.13	$134.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $283.33 / $483.26	Facility		$160.96	$283.33	$483.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $646.51 / $1,875.37	Professional		$107.30	$646.51	$1,875.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $250.00 / $346.00	Facility		$134.13	$250.00	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $177.05 / $291.06	Professional		$140.84	$177.05	$291.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $132.47 / $243.22	Professional		$114.01	$132.47	$243.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $241.63 / $329.41 / $597.00	Facility		$241.63	$329.41	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $100.60 / $324.58	Professional		$87.18	$100.60	$324.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $80.48 / $207.90	Professional		$56.33	$80.48	$207.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $154.25 / $154.25	Facility		$134.13	$154.25	$154.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $134.13 / $161.21	Professional		$114.01	$134.13	$161.21