Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $168.99 / $397.47	Facility		$80.25	$168.99	$397.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $88.62 / $167.11	Professional		$51.38	$88.62	$167.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $94.41 / $245.47	Facility		$94.41	$94.41	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $91.75 / $209.25	Professional		$37.76	$91.75	$209.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $94.41 / $94.41	Facility		$94.41	$94.41	$94.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $94.41 / $94.41	Professional		$94.41	$94.41	$94.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.83 / $303.58 / $723.91	Facility		$227.83	$303.58	$723.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $113.29 / $455.06	Professional		$88.66	$113.29	$455.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $141.29 / $332.00	Facility		$68.92	$141.29	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $112.35 / $176.55	Professional		$84.97	$112.35	$176.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $89.69 / $110.66	Professional		$80.25	$89.69	$110.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $303.58 / $681.64	Facility		$163.06	$303.58	$681.64
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $121.86 / $264.56	Professional		$70.81	$121.86	$264.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $56.65 / $141.62	Professional		$39.65	$56.65	$141.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.57 / $108.57 / $318.31	Facility		$108.57	$108.57	$318.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $98.98 / $283.56	Professional		$89.40	$98.98	$283.56