Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $130.34 / $265.64	Facility		$71.61	$130.34	$265.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $59.15 / $144.47	Professional		$46.94	$59.15	$144.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $150.07 / $205.51	Professional		$79.33	$150.07	$205.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.19 / $79.19 / $123.72	Facility		$79.19	$79.19	$123.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $83.78 / $123.72	Professional		$79.19	$83.78	$123.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $138.90 / $866.04	Facility		$98.61	$138.90	$866.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $115.43 / $303.48	Professional		$46.14	$115.43	$303.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $90.49 / $332.00	Facility		$46.49	$90.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $84.81 / $242.45	Professional		$58.94	$84.81	$242.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $63.13 / $63.13	Facility		$63.13	$63.13	$63.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $87.11 / $163.22	Professional		$52.78	$87.11	$163.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $138.90 / $770.37	Facility		$72.45	$138.90	$770.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $103.96 / $303.48	Professional		$52.39	$103.96	$303.48
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $70.31 / $212.92	Professional		$50.20	$70.31	$212.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $67.23 / $654.94	Facility		$67.23	$67.23	$654.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $87.11 / $163.22	Professional		$58.34	$87.11	$163.22