Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $103.17 / $158.40	Facility		$63.88	$103.17	$158.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $74.84 / $130.66	Professional		$61.67	$74.84	$130.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $80.70 / $180.96	Professional		$61.73	$80.70	$180.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $13.78 / $86.97	Facility		$13.78	$13.78	$86.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $86.97 / $100.75	Professional		$13.78	$86.97	$100.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $210.42 / $706.75	Facility		$159.43	$210.42	$706.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $104.60 / $263.75	Professional		$57.67	$104.60	$263.75
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 $70.16 / $96.35 / $144.58	Professional		$70.16	$96.35	$144.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $73.64 / $111.16	Professional		$30.30	$73.64	$111.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $210.42 / $768.51	Facility		$153.97	$210.42	$768.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $112.43 / $262.01	Professional		$73.63	$112.43	$262.01
United Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $84.10 / $171.70	Professional		$62.79	$84.10	$171.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $74.37 / $246.02	Facility		$74.37	$74.37	$246.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $93.68 / $201.24	Professional		$65.72	$93.68	$201.24