Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $205.64 / $368.59	Facility		$109.93	$205.64	$368.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $70.79 / $129.33	Professional		$58.27	$70.79	$129.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $336.26	Facility		$129.33	$129.33	$336.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $65.95 / $198.63	Professional		$37.45	$65.95	$198.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $129.33 / $129.33	Facility		$77.59	$129.33	$129.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $129.33 / $129.33	Professional		$94.41	$129.33	$129.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.37 / $262.16 / $843.15	Facility		$90.37	$262.16	$843.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $130.77 / $623.37	Professional		$56.34	$130.77	$623.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $168.13 / $332.00	Facility		$33.60	$168.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $77.59 / $236.67	Professional		$59.10	$77.59	$236.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.61 / $77.61 / $77.61	Facility		$77.61	$77.61	$77.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $99.12 / $135.58	Professional		$73.04	$99.12	$135.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $274.56 / $793.93	Facility		$92.76	$274.56	$793.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $131.52 / $200.46	Professional		$59.97	$131.52	$200.46
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $62.08 / $187.53	Professional		$54.32	$62.08	$187.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $148.72 / $148.72 / $288.94	Facility		$148.72	$148.72	$288.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $104.12 / $155.44	Professional		$70.89	$104.12	$155.44