Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $178.27 / $272.87	Facility		$106.92	$178.27	$272.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $123.22 / $241.17	Professional		$92.81	$123.22	$241.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $126.80 / $348.95	Professional		$97.00	$126.80	$348.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $57.09 / $116.47	Facility		$57.09	$57.09	$116.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $116.47 / $173.57	Professional		$57.09	$116.47	$173.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.65 / $137.13 / $741.50	Facility		$113.65	$137.13	$741.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $190.21 / $378.62	Professional		$85.18	$190.21	$378.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.24 / $65.50 / $332.00	Facility		$39.24	$65.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $158.36 / $244.99	Professional		$116.33	$158.36	$244.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $144.74 / $206.66	Professional		$30.30	$144.74	$206.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $137.13 / $597.00	Facility		$102.98	$137.13	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $208.31 / $407.25	Professional		$109.20	$208.31	$407.25
United Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $147.12 / $300.39	Professional		$105.06	$147.12	$300.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.51 / $126.51 / $592.15	Facility		$126.51	$126.51	$592.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $159.36 / $342.31	Professional		$111.36	$159.36	$342.31