Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.03 / $231.47 / $502.45	Facility		$130.03	$231.47	$502.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.72 / $149.59 / $431.26	Professional		$122.72	$149.59	$431.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.28 / $161.16 / $506.42	Professional		$123.28	$161.16	$506.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $99.03 / $114.39	Facility		$99.03	$99.03	$114.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $114.39 / $213.41	Professional		$99.03	$114.39	$213.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.89 / $271.56 / $4,355.78	Facility		$191.89	$271.56	$4,355.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $283.60 / $732.64	Professional		$119.45	$283.60	$732.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $119.30 / $332.00	Facility		$66.72	$119.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $217.56 / $528.90	Professional		$152.69	$217.56	$528.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.10 / $111.10 / $111.10	Facility		$111.10	$111.10	$111.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $217.20 / $335.85	Professional		$120.08	$217.20	$335.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.54 / $272.30 / $4,355.78	Facility		$165.54	$272.30	$4,355.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $268.85 / $732.64	Professional		$135.30	$268.85	$732.64
United Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $188.57 / $528.77	Professional		$131.26	$188.57	$528.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $170.94 / $1,695.35	Facility		$170.94	$170.94	$1,695.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $219.99 / $388.51	Professional		$148.34	$219.99	$388.51