Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $108.23 / $114.58	Facility		$86.12	$108.23	$114.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $108.23 / $148.02	Professional		$86.12	$108.23	$148.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $126.24 / $317.56	Professional		$104.42	$126.24	$317.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $59.07 / $93.74	Facility		$59.07	$59.07	$93.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $93.74 / $152.33	Professional		$59.07	$93.74	$152.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $150.83 / $867.61	Facility		$115.39	$150.83	$867.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $175.15 / $349.73	Professional		$76.26	$175.15	$349.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $261.66 / $423.89 / $1,586.30	Facility		$261.66	$423.89	$1,586.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.03 / $375.45 / $1,730.26	Professional		$156.03	$375.45	$1,730.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $151.50 / $151.50	Facility		$151.50	$151.50	$151.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $1,193.28 / $2,166.36	Professional		$151.50	$1,193.28	$2,166.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $150.83 / $954.37	Facility		$112.03	$150.83	$954.37
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $179.68 / $450.00	Professional		$85.72	$179.68	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $459.85 / $1,723.85	Professional		$174.19	$459.85	$1,723.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,326.13 / $1,326.13 / $2,890.30	Facility		$1,326.13	$1,326.13	$2,890.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $1,670.51 / $3,174.82	Professional		$318.52	$1,670.51	$3,174.82