Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.24 / $213.44 / $562.76	Facility		$119.24	$213.44	$562.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $136.86 / $246.63	Professional		$93.39	$136.86	$246.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $109.92 / $264.24	Professional		$84.08	$109.92	$264.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.52 / $152.52 / $152.52	Facility		$152.52	$152.52	$152.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $152.52 / $152.52	Professional		$152.52	$152.52	$152.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.17 / $900.68 / $1,000.75	Facility		$123.17	$900.68	$1,000.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $149.54 / $323.77	Professional		$95.41	$149.54	$323.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $170.07 / $346.00	Facility		$101.58	$170.07	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $125.57 / $226.75	Professional		$103.07	$125.57	$226.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.30 / $232.30 / $232.30	Facility		$232.30	$232.30	$232.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $139.55 / $232.30	Professional		$88.68	$139.55	$232.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $254.50 / $1,000.75	Facility		$105.94	$254.50	$1,000.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.74 / $160.40 / $350.00	Professional		$113.74	$160.40	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $119.02 / $244.88	Professional		$87.19	$119.02	$244.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.99 / $115.99 / $347.02	Facility		$115.99	$115.99	$347.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $141.96 / $313.83	Professional		$88.68	$141.96	$313.83