Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $102.36 / $307.07	Facility		$47.32	$102.36	$307.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $52.19 / $94.95	Professional		$37.79	$52.19	$94.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $49.65 / $106.76	Professional		$29.59	$49.65	$106.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Facility		$76.70	$76.70	$76.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $189.77 / $346.25	Facility		$114.35	$189.77	$346.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $70.45 / $170.73	Professional		$39.88	$70.45	$170.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $82.98 / $332.00	Facility		$45.11	$82.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $64.14 / $110.64	Professional		$39.82	$64.14	$110.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $77.70 / $117.85	Professional		$44.47	$77.70	$117.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $191.60 / $384.72	Facility		$69.52	$191.60	$384.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $71.42 / $157.63	Professional		$38.56	$71.42	$157.63
United Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $54.88 / $122.84	Professional		$35.36	$54.88	$122.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $58.07 / $91.41	Facility		$58.07	$58.07	$91.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $79.89 / $144.25	Professional		$54.93	$79.89	$144.25