Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.42 / $157.19 / $203.81	Facility		$74.42	$157.19	$203.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $203.81 / $262.41	Professional		$146.87	$203.81	$262.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $139.47 / $456.73	Professional		$109.99	$139.47	$456.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $315.02	Facility		$43.48	$43.48	$315.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $315.02 / $358.50	Professional		$43.48	$315.02	$358.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $188.65 / $536.64	Facility		$112.00	$188.65	$536.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $117.30 / $292.89	Professional		$65.95	$117.30	$292.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $109.62 / $332.00	Facility		$64.18	$109.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $116.46 / $201.48	Professional		$89.29	$116.46	$201.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $110.46 / $197.97	Professional		$71.52	$110.46	$197.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.59 / $189.77 / $596.26	Facility		$93.59	$189.77	$596.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $115.39 / $415.79	Professional		$62.14	$115.39	$415.79
United Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $262.89 / $543.59	Professional		$103.28	$262.89	$543.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $108.63 / $554.48	Facility		$108.63	$108.63	$554.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $141.84 / $269.66	Professional		$75.06	$141.84	$269.66