Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $229.42 / $493.74	Facility		$113.10	$229.42	$493.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $130.83 / $334.01	Professional		$106.75	$130.83	$334.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $144.02 / $469.19	Professional		$110.17	$144.02	$469.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $78.45 / $112.58	Facility		$78.45	$78.45	$112.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $112.58 / $191.03	Professional		$78.45	$112.58	$191.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.45 / $265.73 / $1,271.20	Facility		$181.45	$265.73	$1,271.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $265.04 / $700.86	Professional		$103.33	$265.04	$700.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $112.71 / $332.00	Facility		$63.05	$112.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $188.66 / $514.69	Professional		$131.11	$188.66	$514.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $189.45 / $332.07	Professional		$104.53	$189.45	$332.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $267.01 / $1,109.33	Facility		$143.54	$267.01	$1,109.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $237.18 / $700.86	Professional		$115.47	$237.18	$700.86
United Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $164.01 / $510.99	Professional		$114.50	$164.01	$510.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $1,643.81	Facility		$148.80	$148.80	$1,643.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $192.39 / $343.69	Professional		$129.13	$192.39	$343.69