Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $116.91 / $217.95	Facility		$71.44	$116.91	$217.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $88.19 / $159.72	Professional		$62.83	$88.19	$159.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $80.20 / $212.08	Professional		$61.35	$80.20	$212.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $25.58 / $113.05	Facility		$25.58	$25.58	$113.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $113.05 / $138.63	Professional		$25.58	$113.05	$138.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.01 / $266.83 / $569.49	Facility		$165.01	$266.83	$569.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $121.08 / $301.89	Professional		$72.41	$121.08	$301.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $117.89 / $332.00	Facility		$65.81	$117.89	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $112.29 / $194.22	Professional		$83.44	$112.29	$194.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $114.11 / $204.50	Professional		$67.30	$114.11	$204.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.86 / $266.83 / $597.00	Facility		$108.86	$266.83	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $123.04 / $265.26	Professional		$71.53	$123.04	$265.26
United Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $98.02 / $219.13	Professional		$71.63	$98.02	$219.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $195.65	Facility		$112.22	$112.22	$195.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $140.22 / $246.46	Professional		$67.30	$140.22	$246.46