Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $257.39 / $461.36	Facility		$131.12	$257.39	$461.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $64.98 / $161.88	Professional		$53.49	$64.98	$161.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $420.89	Facility		$161.88	$161.88	$420.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $64.75 / $223.48	Professional		$35.94	$64.75	$223.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $161.88 / $161.88	Facility		$97.13	$161.88	$161.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $161.88 / $161.88	Professional		$118.17	$161.88	$161.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $327.87 / $774.20	Facility		$113.12	$327.87	$774.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $139.40 / $780.26	Professional		$54.16	$139.40	$780.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $210.44 / $364.23	Facility		$33.60	$210.44	$364.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $95.51 / $296.24	Professional		$65.45	$95.51	$296.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $65.45 / $65.45	Facility		$65.45	$65.45	$65.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $83.59 / $169.71	Professional		$65.45	$83.59	$169.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.12 / $343.56 / $729.01	Facility		$113.12	$343.56	$729.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $140.00 / $250.91	Professional		$54.90	$140.00	$250.91
United Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $77.70 / $242.82	Professional		$55.35	$77.70	$242.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.16 / $186.16 / $265.33	Facility		$186.16	$186.16	$265.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $95.61 / $194.57	Professional		$65.08	$95.61	$194.57