Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $103.19 / $193.72	Facility		$54.62	$103.19	$193.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $78.15 / $141.53	Professional		$54.62	$78.15	$141.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $70.89 / $174.24	Professional		$54.75	$70.89	$174.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $101.12	Facility		$22.10	$22.10	$101.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $101.12 / $123.22	Professional		$22.10	$101.12	$123.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $238.85 / $450.96	Facility		$133.86	$238.85	$450.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $99.73 / $276.27	Professional		$55.47	$99.73	$276.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $103.21 / $332.00	Facility		$57.63	$103.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $97.88 / $169.53	Professional		$70.92	$97.88	$169.53
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 $49.84 / $99.51 / $178.34	Professional		$49.84	$99.51	$178.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $238.85 / $501.07	Facility		$95.07	$238.85	$501.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $106.59 / $234.94	Professional		$66.44	$106.59	$234.94
United Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $83.37 / $183.26	Professional		$59.63	$83.37	$183.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $97.87 / $97.87 / $158.88	Facility		$97.87	$97.87	$158.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $122.41 / $214.93	Professional		$49.84	$122.41	$214.93