Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.13 / $141.43 / $228.64	Facility		$91.13	$141.43	$228.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.27 / $106.71 / $195.38	Professional		$88.27	$106.71	$195.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $111.10 / $277.39	Professional		$84.99	$111.10	$277.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $30.67 / $118.96	Facility		$30.67	$30.67	$118.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $118.96 / $149.63	Professional		$30.67	$118.96	$149.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.70 / $285.47 / $988.88	Facility		$217.70	$285.47	$988.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $162.21 / $385.21	Professional		$83.69	$162.21	$385.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $126.16 / $332.00	Facility		$70.80	$126.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.28 / $142.78 / $211.82	Professional		$96.28	$142.78	$211.82
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 / $96.28 / $163.74	Professional		$35.35	$96.28	$163.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $285.47 / $964.87	Facility		$210.00	$285.47	$964.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $162.21 / $397.08	Professional		$100.95	$162.21	$397.08
United Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $131.86 / $259.80	Professional		$92.64	$131.86	$259.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $109.55 / $449.87	Facility		$109.55	$109.55	$449.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $138.00 / $296.43	Professional		$87.16	$138.00	$296.43