Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $158.83 / $266.54	Facility		$103.71	$158.83	$266.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $118.86 / $212.19	Professional		$74.90	$118.86	$212.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $95.33 / $293.36	Professional		$72.92	$95.33	$293.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.44 / $66.44 / $99.21	Facility		$66.44	$66.44	$99.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $99.21 / $165.65	Professional		$66.44	$99.21	$165.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $234.36 / $1,344.72	Facility		$155.44	$234.36	$1,344.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $174.10 / $365.26	Professional		$87.87	$174.10	$365.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $96.11 / $332.00	Facility		$53.68	$96.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.92 / $147.13 / $224.52	Professional		$106.92	$147.13	$224.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $138.27 / $227.44	Professional		$91.96	$138.27	$227.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $235.43 / $972.22	Facility		$120.42	$235.43	$972.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $172.95 / $372.43	Professional		$92.66	$172.95	$372.43
United Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $130.06 / $263.77	Professional		$92.10	$130.06	$263.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $124.81 / $614.57	Facility		$124.81	$124.81	$614.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $156.88 / $309.80	Professional		$91.96	$156.88	$309.80