Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.97 / $94.21 / $154.50	Facility		$63.97	$94.21	$154.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $69.72 / $127.76	Professional		$60.14	$69.72	$127.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $83.19 / $182.13	Professional		$65.61	$83.19	$182.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $11.31 / $86.97	Facility		$11.31	$11.31	$86.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $86.97 / $98.27	Professional		$11.31	$86.97	$98.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $210.42 / $694.81	Facility		$159.43	$210.42	$694.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $97.86 / $258.13	Professional		$56.38	$97.86	$258.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $93.75 / $332.00	Facility		$52.74	$93.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $88.18 / $141.06	Professional		$60.30	$88.18	$141.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Facility		$20.20	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $64.12 / $108.42	Professional		$20.20	$64.12	$108.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $210.42 / $694.81	Facility		$153.97	$210.42	$694.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $105.07 / $251.87	Professional		$56.61	$105.07	$251.87
United Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $80.93 / $179.21	Professional		$55.10	$80.93	$179.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $72.54 / $178.52	Facility		$72.54	$72.54	$178.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $91.38 / $172.68	Professional		$58.83	$91.38	$172.68