Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $226.78 / $406.50	Facility		$99.84	$226.78	$406.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $93.78 / $121.24	Professional		$75.59	$93.78	$121.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $370.84	Facility		$142.63	$142.63	$370.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $19.88 / $171.16	Professional		$19.88	$19.88	$171.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $142.63 / $142.63	Professional		$104.12	$142.63	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.85 / $289.01 / $370.34	Facility		$141.85	$289.01	$370.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $208.23 / $687.48	Professional		$114.10	$208.23	$687.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $261.01 / $346.00	Facility		$142.63	$261.01	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $188.27 / $309.51	Professional		$149.76	$188.27	$309.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $142.63 / $258.63	Professional		$121.24	$142.63	$258.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.85 / $348.21 / $498.30	Facility		$141.85	$348.21	$498.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $178.29 / $328.05	Professional		$92.71	$178.29	$328.05
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $216.17	Professional		$59.90	$85.58	$216.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $164.02 / $164.02	Facility		$142.63	$164.02	$164.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $142.63 / $171.43	Professional		$121.24	$142.63	$171.43