Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $279.77 / $418.12	Facility		$65.31	$279.77	$418.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.13 / $394.63 / $529.37	Professional		$208.13	$394.63	$529.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.27 / $241.66 / $875.57	Professional		$190.27	$241.66	$875.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $660.69	Facility		$36.61	$36.61	$660.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $660.69 / $697.31	Professional		$36.61	$660.69	$697.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $160.11 / $511.31	Facility		$98.00	$160.11	$511.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $99.58 / $225.94	Professional		$54.62	$99.58	$225.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $91.33 / $332.00	Facility		$49.71	$91.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $99.75 / $172.57	Professional		$76.36	$99.75	$172.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $106.85 / $168.51	Professional		$63.44	$106.85	$168.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $160.11 / $528.52	Facility		$79.84	$160.11	$528.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $102.27 / $677.74	Professional		$50.00	$102.27	$677.74
United Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $508.51 / $1,165.92	Professional		$107.50	$508.51	$1,165.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.47 / $92.47 / $403.94	Facility		$92.47	$92.47	$403.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $121.30 / $229.53	Professional		$64.40	$121.30	$229.53