Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.58 / $78.01 / $1,194.98	Facility		$76.58	$78.01	$1,194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $88.33 / $139.35	Professional		$76.98	$88.33	$139.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $73.77 / $208.94	Professional		$58.18	$73.77	$208.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $46.66 / $80.73	Facility		$46.66	$46.66	$80.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $80.73 / $127.87	Professional		$46.66	$80.73	$127.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $527.82 / $622.83	Facility		$97.31	$527.82	$622.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $153.90 / $314.42	Professional		$66.89	$153.90	$314.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $111.26 / $332.00	Facility		$62.15	$111.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $127.97 / $208.74	Professional		$99.93	$127.97	$208.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Facility		$32.32	$32.32	$32.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $100.54 / $184.80	Professional		$62.39	$100.54	$184.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $254.50 / $622.83	Facility		$97.31	$254.50	$622.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $128.47 / $306.24	Professional		$51.47	$128.47	$306.24
United Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $104.37 / $260.01	Professional		$76.29	$104.37	$260.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $115.86 / $283.85	Facility		$115.86	$115.86	$283.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $124.47 / $235.55	Professional		$65.48	$124.47	$235.55