Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $100.40 / $188.51	Facility		$62.16	$100.40	$188.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $72.31 / $116.79	Professional		$51.88	$72.31	$116.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $80.39 / $167.37	Professional		$63.40	$80.39	$167.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $97.30	Facility		$10.84	$10.84	$97.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $97.30 / $108.14	Professional		$10.84	$97.30	$108.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $229.87 / $617.73	Facility		$172.52	$229.87	$617.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $98.37 / $280.23	Professional		$57.16	$98.37	$280.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $89.03 / $332.00	Facility		$49.73	$89.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $87.43 / $134.11	Professional		$65.30	$87.43	$134.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $65.02 / $107.74	Professional		$25.25	$65.02	$107.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.02 / $230.91 / $597.00	Facility		$130.02	$230.91	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $106.02 / $247.82	Professional		$60.63	$106.02	$247.82
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $87.12 / $198.12	Professional		$65.63	$87.12	$198.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $72.09 / $206.99	Facility		$72.09	$72.09	$206.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $90.80 / $171.60	Professional		$60.96	$90.80	$171.60