Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $148.18 / $265.97	Facility		$94.99	$148.18	$265.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $110.19 / $142.49	Professional		$74.09	$110.19	$142.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $94.99 / $246.97	Facility		$94.99	$94.99	$246.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $46.01 / $150.08	Professional		$38.00	$46.01	$150.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $94.99 / $94.99	Facility		$56.99	$94.99	$94.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $94.99	Professional		$94.99	$94.99	$94.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $200.66 / $253.35	Facility		$116.07	$200.66	$253.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $147.41 / $308.39	Professional		$57.61	$147.41	$308.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $183.00 / $332.00	Facility		$113.99	$183.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $99.10 / $173.83	Professional		$66.48	$99.10	$173.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $90.24 / $169.42	Professional		$75.98	$90.24	$169.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $231.56 / $342.36	Facility		$92.61	$231.56	$342.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $116.15 / $284.97	Professional		$60.00	$116.15	$284.97
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $143.96	Professional		$39.90	$56.99	$143.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $100.69 / $100.69	Facility		$49.44	$100.69	$100.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $94.99 / $111.80	Professional		$75.98	$94.99	$111.80