Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $102.56 / $103.55	Facility		$99.97	$102.56	$103.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $110.24 / $132.33	Professional		$97.73	$110.24	$132.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $119.20 / $203.28	Professional		$98.76	$119.20	$203.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.01 / $77.01 / $92.85	Facility		$77.01	$77.01	$92.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $92.85 / $170.81	Professional		$77.01	$92.85	$170.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $130.49 / $622.83	Facility		$130.49	$130.49	$622.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $178.00 / $378.43	Professional		$94.56	$178.00	$378.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $115.01 / $332.00	Facility		$63.28	$115.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $164.10 / $285.38	Professional		$131.08	$164.10	$285.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $39.39 / $39.39	Facility		$39.39	$39.39	$39.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $161.74 / $253.72	Professional		$102.10	$161.74	$253.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $130.49 / $622.83	Facility		$113.00	$130.49	$622.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $160.97 / $365.25	Professional		$79.56	$160.97	$365.25
United Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $137.00 / $300.14	Professional		$101.65	$137.00	$300.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.07 / $159.07 / $395.80	Facility		$159.07	$159.07	$395.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $183.81 / $347.36	Professional		$107.16	$183.81	$347.36