Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $220.96 / $377.41	Facility		$66.62	$220.96	$377.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $270.45 / $377.43	Professional		$66.62	$270.45	$377.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.77 / $352.40 / $743.56	Professional		$283.77	$352.40	$743.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $22.72 / $516.02	Facility		$22.72	$22.72	$516.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $516.02 / $538.74	Professional		$22.72	$516.02	$538.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.52 / $164.06 / $553.72	Facility		$126.52	$164.06	$553.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $91.77 / $230.39	Professional		$47.99	$91.77	$230.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $100.25 / $332.00	Facility		$48.79	$100.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $90.02 / $151.65	Professional		$71.15	$90.02	$151.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $96.45 / $133.77	Professional		$58.91	$96.45	$133.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.85 / $165.77 / $615.24	Facility		$116.85	$165.77	$615.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $108.22 / $941.71	Professional		$41.20	$108.22	$941.71
United Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $440.04 / $891.05	Professional		$243.07	$440.04	$891.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $76.93 / $667.14	Facility		$76.93	$76.93	$667.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $105.36 / $183.14	Professional		$66.73	$105.36	$183.14