Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $131.68 / $207.31	Facility		$85.94	$131.68	$207.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.68 / $207.31 / $267.30	Professional		$131.68	$207.31	$267.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $247.90 / $463.09	Professional		$198.32	$247.90	$463.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $58.44 / $315.02	Facility		$58.44	$58.44	$315.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $315.02 / $373.45	Professional		$58.44	$315.02	$373.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $203.75 / $566.66	Facility		$122.40	$203.75	$566.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $148.47 / $314.79	Professional		$80.56	$148.47	$314.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $115.75 / $332.00	Facility		$61.80	$115.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $139.41 / $229.69	Professional		$107.05	$139.41	$229.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $128.37 / $201.38	Professional		$81.84	$128.37	$201.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $205.87 / $629.62	Facility		$109.23	$205.87	$629.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $158.03 / $430.74	Professional		$81.65	$158.03	$430.74
United Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $266.45 / $579.90	Professional		$166.47	$266.45	$579.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $126.25 / $425.69	Facility		$126.25	$126.25	$425.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $145.88 / $277.27	Professional		$85.89	$145.88	$277.27