Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $116.81 / $123.14	Facility		$114.55	$116.81	$123.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $126.30 / $159.78	Professional		$111.92	$126.30	$159.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $135.69 / $249.86	Professional		$115.33	$135.69	$249.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $52.87 / $136.56	Facility		$52.87	$52.87	$136.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.87 / $136.56 / $188.95	Professional		$52.87	$136.56	$188.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $209.00 / $1,071.99	Facility		$148.80	$209.00	$1,071.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $210.47 / $446.23	Professional		$108.54	$210.47	$446.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $105.13 / $191.48 / $341.15	Facility		$105.13	$191.48	$341.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $200.37 / $315.38	Professional		$131.33	$200.37	$315.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $176.44 / $276.77	Professional		$114.54	$176.44	$276.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $153.97 / $1,071.99	Facility		$148.80	$153.97	$1,071.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $178.66 / $436.01	Professional		$72.62	$178.66	$436.01
United Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $156.26 / $318.81	Professional		$124.04	$156.26	$318.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $173.53 / $424.82	Facility		$173.53	$173.53	$424.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $200.52 / $378.93	Professional		$120.21	$200.52	$378.93