Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $201.20 / $395.35	Facility		$95.68	$201.20	$395.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $168.83 / $297.13	Professional		$95.68	$168.83	$297.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $179.03 / $378.08	Professional		$141.19	$179.03	$378.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $215.40	Facility		$30.89	$30.89	$215.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $215.40 / $246.29	Professional		$30.89	$215.40	$246.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.61 / $511.74 / $1,247.08	Facility		$392.61	$511.74	$1,247.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $219.44 / $640.13	Professional		$129.61	$219.44	$640.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $213.79 / $371.50	Facility		$119.61	$213.79	$371.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $191.92 / $328.92	Professional		$139.94	$191.92	$328.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $149.51 / $257.88	Professional		$35.35	$149.51	$257.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $511.74 / $1,174.28	Facility		$254.50	$511.74	$1,174.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $241.17 / $555.45	Professional		$129.61	$241.17	$555.45
United Facility/Professional Professional Modifier Low / Median / High Price $136.06 / $188.89 / $431.13	Professional		$136.06	$188.89	$431.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $172.53 / $172.53 / $325.89	Facility		$172.53	$172.53	$325.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $217.34 / $384.49	Professional		$122.74	$217.34	$384.49