Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.56 / $143.54 / $150.05	Facility		$141.56	$143.54	$150.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $150.05 / $192.49	Professional		$122.09	$150.05	$192.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $168.82 / $342.43	Professional		$135.94	$168.82	$342.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $147.34	Facility		$81.90	$81.90	$147.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $147.34 / $229.52	Professional		$81.90	$147.34	$229.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $893.97 / $1,172.09	Facility		$178.55	$893.97	$1,172.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $236.29 / $514.53	Professional		$127.82	$236.29	$514.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.44 / $169.95 / $346.00	Facility		$89.44	$169.95	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $210.80 / $341.40	Professional		$156.18	$210.80	$341.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $193.58 / $346.94	Professional		$130.88	$193.58	$346.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $228.00 / $1,172.09	Facility		$153.97	$228.00	$1,172.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.09 / $208.03 / $514.53	Professional		$110.09	$208.03	$514.53
United Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $171.70 / $354.98	Professional		$134.06	$171.70	$354.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.38 / $190.38 / $394.78	Facility		$190.38	$190.38	$394.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $248.09 / $418.12	Professional		$137.35	$248.09	$418.12