Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $71.73 / $76.22	Facility		$71.73	$71.73	$76.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $73.45 / $153.02	Professional		$56.20	$73.45	$153.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $245.76	Professional		$38.61	$38.61	$245.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $126.87 / $126.87	Facility		$53.13	$126.87	$126.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $126.87 / $134.91	Professional		$64.64	$126.87	$134.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.84 / $142.84 / $142.84	Facility		$142.84	$142.84	$142.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $106.96 / $215.24	Professional		$53.12	$106.96	$215.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.84 / $93.84 / $93.84	Facility		$93.84	$93.84	$93.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $88.60 / $171.42	Professional		$59.43	$88.60	$171.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $85.71 / $167.21	Professional		$74.73	$85.71	$167.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.84 / $142.84 / $142.84	Facility		$142.84	$142.84	$142.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $92.83 / $239.75	Professional		$53.17	$92.83	$239.75
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $69.67 / $175.99	Professional		$51.20	$69.67	$175.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $96.67 / $266.13	Professional		$78.38	$96.67	$266.13