Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $175.10 / $293.55	Facility		$89.48	$175.10	$293.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $80.34 / $113.30	Professional		$76.48	$80.34	$113.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $103.00 / $267.80	Facility		$103.00	$103.00	$267.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $62.31 / $232.49	Professional		$48.88	$62.31	$232.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $103.00 / $103.00	Facility		$61.80	$103.00	$103.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $103.00 / $103.00	Professional		$75.19	$103.00	$103.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $208.45 / $1,057.30	Facility		$71.98	$208.45	$1,057.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $115.79 / $662.88	Professional		$73.53	$115.79	$662.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $133.90 / $332.00	Facility		$52.70	$133.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $61.80 / $188.49	Professional		$41.20	$61.80	$188.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $103.00 / $136.66	Professional		$87.55	$103.00	$136.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $251.15 / $1,042.07	Facility		$94.40	$251.15	$1,042.07
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $141.60 / $212.18	Professional		$78.73	$141.60	$212.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $59.10 / $156.10	Professional		$43.26	$59.10	$156.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $118.45 / $118.45 / $379.26	Facility		$118.45	$118.45	$379.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $115.08 / $136.66	Professional		$90.78	$115.08	$136.66