Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $143.66 / $264.33	Facility		$84.64	$143.66	$264.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $105.07 / $196.86	Professional		$74.76	$105.07	$196.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $93.98 / $260.37	Professional		$71.89	$93.98	$260.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $26.43 / $141.69	Facility		$26.43	$26.43	$141.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $141.69 / $168.14	Professional		$26.43	$141.69	$168.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.41 / $334.06 / $635.69	Facility		$207.41	$334.06	$635.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $149.22 / $361.17	Professional		$88.54	$149.22	$361.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $144.24 / $332.00	Facility		$80.48	$144.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $133.44 / $229.86	Professional		$105.37	$133.44	$229.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Facility		$20.20	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $135.38 / $242.65	Professional		$83.46	$135.38	$242.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.37 / $334.06 / $664.73	Facility		$129.37	$334.06	$664.73
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $151.44 / $325.43	Professional		$88.54	$151.44	$325.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $114.04 / $251.56	Professional		$86.60	$114.04	$251.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $133.15 / $268.16	Facility		$133.15	$133.15	$268.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $165.96 / $292.43	Professional		$83.46	$165.96	$292.43