Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $198.16 / $429.36	Facility		$122.43	$198.16	$429.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.43 / $178.40 / $590.66	Professional		$122.43	$178.40	$590.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $181.52 / $388.38	Professional		$146.16	$181.52	$388.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $230.20	Facility		$37.28	$37.28	$230.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $230.20 / $267.48	Professional		$37.28	$230.20	$267.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.92 / $546.47 / $1,260.91	Facility		$407.92	$546.47	$1,260.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.42 / $207.76 / $614.30	Professional		$121.42	$207.76	$614.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $167.19 / $332.00	Facility		$93.65	$167.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $168.23 / $267.23	Professional		$121.47	$168.23	$267.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.20	Facility		$20.20	$20.20	$20.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $132.58 / $209.48	Professional		$20.20	$132.58	$209.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $546.47 / $1,187.30	Facility		$254.50	$546.47	$1,187.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $239.55 / $576.57	Professional		$135.00	$239.55	$576.57
United Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $199.63 / $454.65	Professional		$110.54	$199.63	$454.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $140.16 / $369.99	Facility		$140.16	$140.16	$369.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $121.47 / $176.55 / $333.63	Professional		$121.47	$176.55	$333.63