Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.16 / $222.26 / $387.67	Facility		$144.16	$222.26	$387.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $165.12 / $322.05	Professional		$142.10	$165.12	$322.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $176.21 / $409.40	Professional		$138.97	$176.21	$409.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $217.79	Facility		$23.72	$23.72	$217.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $217.79 / $241.51	Professional		$23.72	$217.79	$241.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.76 / $517.36 / $1,454.64	Facility		$397.76	$517.36	$1,454.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $226.51 / $627.57	Professional		$130.27	$226.51	$627.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $116.22 / $207.70 / $361.01	Facility		$116.22	$207.70	$361.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.07 / $196.44 / $310.66	Professional		$140.07	$196.44	$310.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $149.47 / $243.71	Professional		$70.70	$149.47	$243.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $517.36 / $1,454.64	Facility		$254.50	$517.36	$1,454.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $244.97 / $581.89	Professional		$135.71	$244.97	$581.89
United Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $202.07 / $479.20	Professional		$131.01	$202.07	$479.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.05 / $163.05 / $417.78	Facility		$163.05	$163.05	$417.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $205.40 / $388.14	Professional		$136.75	$205.40	$388.14