Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $137.65 / $259.31	Facility		$81.36	$137.65	$259.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $100.52 / $175.70	Professional		$75.37	$100.52	$175.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $92.93 / $245.55	Professional		$71.09	$92.93	$245.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $39.96 / $124.99	Facility		$39.96	$39.96	$124.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $124.99 / $164.95	Professional		$39.96	$124.99	$164.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.11 / $294.83 / $743.13	Facility		$175.11	$294.83	$743.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $141.41 / $362.19	Professional		$82.91	$141.41	$362.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $109.79 / $332.00	Facility		$61.30	$109.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $126.83 / $199.89	Professional		$101.41	$126.83	$199.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $117.37 / $210.35	Professional		$66.25	$117.37	$210.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $294.83 / $743.13	Facility		$111.84	$294.83	$743.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $145.66 / $329.25	Professional		$86.45	$145.66	$329.25
United Facility/Professional Professional Modifier Low / Median / High Price $90.15 / $114.26 / $265.20	Professional		$90.15	$114.26	$265.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $115.43 / $328.03	Facility		$115.43	$115.43	$328.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $144.33 / $286.52	Professional		$66.25	$144.33	$286.52