Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.20 / $191.87 / $302.89	Facility		$118.20	$191.87	$302.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $136.37 / $250.87	Professional		$102.89	$136.37	$250.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $136.86 / $375.95	Professional		$104.69	$136.86	$375.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $76.19 / $116.47	Facility		$76.19	$76.19	$116.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $116.47 / $192.66	Professional		$76.19	$116.47	$192.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $181.94 / $741.50	Facility		$146.47	$181.94	$741.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $201.79 / $407.45	Professional		$95.09	$201.79	$407.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.13 / $86.92 / $332.00	Facility		$52.13	$86.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $176.79 / $271.17	Professional		$130.16	$176.79	$271.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $150.91 / $228.87	Professional		$45.45	$150.91	$228.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $182.05 / $597.00	Facility		$135.69	$182.05	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $231.88 / $437.50	Professional		$119.93	$231.88	$437.50
United Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $162.83 / $414.06	Professional		$117.38	$162.83	$414.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $140.10 / $458.54	Facility		$140.10	$140.10	$458.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $176.48 / $335.41	Professional		$123.26	$176.48	$335.41