Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.61 / $165.01 / $586.52	Facility		$94.61	$165.01	$586.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $102.92 / $189.51	Professional		$74.09	$102.92	$189.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $98.73 / $241.66	Professional		$75.52	$98.73	$241.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $48.44 / $101.12	Facility		$48.44	$48.44	$101.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $101.12 / $149.55	Professional		$48.44	$101.12	$149.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $238.85 / $512.90	Facility		$129.36	$238.85	$512.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $134.59 / $369.79	Professional		$79.97	$134.59	$369.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.49 / $112.11 / $332.00	Facility		$62.49	$112.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $125.72 / $218.39	Professional		$91.89	$125.72	$218.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $126.09 / $225.96	Professional		$67.87	$126.09	$225.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.05 / $238.85 / $555.00	Facility		$120.05	$238.85	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $139.74 / $311.81	Professional		$77.31	$139.74	$311.81
United Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $108.48 / $220.99	Professional		$78.34	$108.48	$220.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $113.75 / $113.75 / $213.20	Facility		$113.75	$113.75	$213.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $157.69 / $272.32	Professional		$67.87	$157.69	$272.32