Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $150.65 / $257.69	Facility		$101.76	$150.65	$257.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $111.18 / $199.79	Professional		$89.06	$111.18	$199.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $118.40 / $305.50	Professional		$93.38	$118.40	$305.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $48.44 / $112.10	Facility		$48.44	$48.44	$112.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $112.10 / $160.54	Professional		$48.44	$112.10	$160.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $264.60 / $799.87	Facility		$167.00	$264.60	$799.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $156.50 / $373.26	Professional		$80.80	$156.50	$373.26
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 $97.74 / $139.15 / $219.74	Professional		$97.74	$139.15	$219.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $79.79 / $79.79	Facility		$79.79	$79.79	$79.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $139.84 / $226.66	Professional		$87.37	$139.84	$226.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $264.60 / $888.75	Facility		$120.42	$264.60	$888.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $161.05 / $361.44	Professional		$90.00	$161.05	$361.44
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $118.30 / $258.17	Professional		$78.80	$118.30	$258.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $124.38 / $124.38 / $278.10	Facility		$124.38	$124.38	$278.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $158.66 / $278.10	Professional		$93.46	$158.66	$278.10