Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.57 / $107.43 / $229.03	Facility		$59.57	$107.43	$229.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $69.61 / $138.88	Professional		$56.71	$69.61	$138.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $76.98 / $207.34	Professional		$58.88	$76.98	$207.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $70.08	Facility		$30.89	$30.89	$70.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $70.08 / $100.97	Professional		$30.89	$70.08	$100.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.84 / $166.03 / $593.87	Facility		$116.84	$166.03	$593.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $120.12 / $249.33	Professional		$55.62	$120.12	$249.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $87.76 / $332.00	Facility		$57.00	$87.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $102.59 / $165.28	Professional		$71.51	$102.59	$165.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $102.27 / $146.09	Professional		$56.32	$102.27	$146.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $166.60 / $593.87	Facility		$84.77	$166.60	$593.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $116.83 / $251.26	Professional		$62.10	$116.83	$251.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $85.92 / $196.78	Professional		$60.82	$85.92	$196.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $73.54 / $389.39	Facility		$73.54	$73.54	$389.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $102.36 / $182.91	Professional		$69.56	$102.36	$182.91