Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $205.85 / $376.30	Facility		$119.39	$205.85	$376.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $156.97 / $282.44	Professional		$119.20	$156.97	$282.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $138.30 / $364.35	Professional		$107.29	$138.30	$364.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $157.46	Facility		$81.90	$81.90	$157.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $157.46 / $239.36	Professional		$81.90	$157.46	$239.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.63 / $371.02 / $842.77	Facility		$231.63	$371.02	$842.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $209.39 / $515.44	Professional		$123.40	$209.39	$515.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.21 / $163.47 / $346.00	Facility		$91.21	$163.47	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $191.36 / $334.97	Professional		$140.22	$191.36	$334.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $195.42 / $350.23	Professional		$112.99	$195.42	$350.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $371.02 / $842.77	Facility		$185.66	$371.02	$842.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $215.96 / $468.87	Professional		$123.36	$215.96	$468.87
United Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $165.68 / $350.68	Professional		$126.70	$165.68	$350.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $192.19 / $192.19 / $363.54	Facility		$192.19	$192.19	$363.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $241.87 / $422.08	Professional		$112.99	$241.87	$422.08