Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $75.09 / $1,107.04	Facility		$66.95	$75.09	$1,107.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $75.09 / $95.99	Professional		$63.72	$75.09	$95.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $84.24 / $201.73	Professional		$67.84	$84.24	$201.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $42.50 / $75.58	Facility		$42.50	$42.50	$75.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $75.58 / $117.71	Professional		$42.50	$75.58	$117.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $460.54 / $603.82	Facility		$91.72	$460.54	$603.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $126.26 / $276.00	Professional		$65.78	$126.26	$276.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $203.87 / $346.00	Facility		$117.58	$203.87	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $181.34 / $329.70	Professional		$105.74	$181.34	$329.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $57.57 / $57.57	Facility		$57.57	$57.57	$57.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $186.46 / $334.17	Professional		$96.52	$186.46	$334.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $153.97 / $603.82	Facility		$91.72	$153.97	$603.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $110.16 / $276.00	Professional		$57.22	$110.16	$276.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $161.16 / $334.80	Professional		$130.06	$161.16	$334.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $183.38 / $183.38 / $456.55	Facility		$183.38	$183.38	$456.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $239.47 / $414.01	Professional		$101.29	$239.47	$414.01