Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $104.21 / $192.34	Facility		$61.19	$104.21	$192.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $81.17 / $142.97	Professional		$56.89	$81.17	$142.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $78.91 / $189.08	Professional		$61.60	$78.91	$189.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.58 / $45.58 / $76.77	Facility		$45.58	$45.58	$76.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $76.77 / $122.35	Professional		$45.58	$76.77	$122.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $181.70 / $402.02	Facility		$109.16	$181.70	$402.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $120.87 / $268.99	Professional		$68.23	$120.87	$268.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $80.42 / $332.00	Facility		$44.93	$80.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $105.42 / $171.80	Professional		$76.78	$105.42	$171.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $100.90 / $180.83	Professional		$59.42	$100.90	$180.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $181.70 / $471.13	Facility		$95.82	$181.70	$471.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $115.21 / $250.18	Professional		$75.48	$115.21	$250.18
United Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $86.42 / $199.75	Professional		$65.52	$86.42	$199.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.23 / $99.23 / $228.85	Facility		$99.23	$99.23	$228.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $114.67 / $224.23	Professional		$59.42	$114.67	$224.23