Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.82 / $192.23 / $284.81	Facility		$113.82	$192.23	$284.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $129.82 / $227.41	Professional		$108.35	$129.82	$227.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.19 / $144.04 / $322.91	Professional		$110.19	$144.04	$322.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $141.30	Facility		$36.11	$36.11	$141.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $141.30 / $177.42	Professional		$36.11	$141.30	$177.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.11 / $339.47 / $1,104.68	Facility		$259.11	$339.47	$1,104.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $181.64 / $456.98	Professional		$100.07	$181.64	$456.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $151.88 / $332.00	Facility		$85.25	$151.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $169.24 / $253.18	Professional		$122.53	$169.24	$253.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $128.60 / $195.84	Professional		$50.50	$128.60	$195.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $339.47 / $1,104.68	Facility		$238.00	$339.47	$1,104.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $197.23 / $455.30	Professional		$120.00	$197.23	$455.30
United Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $148.56 / $308.41	Professional		$111.42	$148.56	$308.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.03 / $131.03 / $427.75	Facility		$131.03	$131.03	$427.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $165.06 / $354.55	Professional		$115.08	$165.06	$354.55