Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $148.33 / $248.32	Facility		$96.22	$148.33	$248.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $111.62 / $222.68	Professional		$92.27	$111.62	$222.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $119.07 / $296.89	Professional		$91.08	$119.07	$296.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $36.11 / $121.82	Facility		$36.11	$36.11	$121.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $121.82 / $157.94	Professional		$36.11	$121.82	$157.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $292.19 / $1,104.68	Facility		$230.00	$292.19	$1,104.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $169.59 / $405.03	Professional		$87.87	$169.59	$405.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $129.19 / $332.00	Facility		$72.48	$129.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $152.49 / $228.70	Professional		$108.00	$152.49	$228.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $141.88 / $201.14	Professional		$101.34	$141.88	$201.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $219.28 / $292.19 / $1,011.98	Facility		$219.28	$292.19	$1,011.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $173.34 / $441.19	Professional		$105.59	$173.34	$441.19
United Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $133.76 / $262.55	Professional		$96.28	$133.76	$262.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $115.68 / $552.04	Facility		$115.68	$115.68	$552.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $160.97 / $313.02	Professional		$101.34	$160.97	$313.02