Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $258.20 / $463.43	Facility		$134.06	$258.20	$463.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $129.10 / $240.58	Professional		$82.76	$129.10	$240.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $165.51 / $430.33	Facility		$165.51	$165.51	$430.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $340.57	Professional		$66.20	$66.20	$340.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.31 / $165.51 / $165.51	Facility		$99.31	$165.51	$165.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $165.51 / $165.51	Professional		$120.82	$165.51	$165.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.31 / $349.64 / $441.50	Facility		$202.31	$349.64	$441.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $241.80 / $537.37	Professional		$100.55	$241.80	$537.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $215.16 / $372.40	Facility		$46.00	$215.16	$372.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $172.68 / $302.88	Professional		$115.86	$172.68	$302.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.51 / $165.51 / $165.51	Facility		$165.51	$165.51	$165.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $165.51 / $213.51	Professional		$129.97	$165.51	$213.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $403.55 / $577.60	Facility		$161.37	$403.55	$577.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $216.50 / $496.53	Professional		$100.86	$216.50	$496.53
United Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $165.51	Facility		$148.96	$148.96	$165.51
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $99.31 / $259.83	Professional		$69.51	$99.31	$259.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $175.44 / $175.44	Facility		$175.44	$175.44	$175.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $165.51 / $241.58	Professional		$129.97	$165.51	$241.58