Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $129.47 / $236.55	Facility		$70.55	$129.47	$236.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $70.55 / $124.50	Professional		$45.26	$70.55	$124.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $215.80	Facility		$83.00	$83.00	$215.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $42.33 / $131.13	Professional		$33.20	$42.33	$131.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $83.00 / $83.00	Facility		$49.80	$83.00	$83.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $175.34 / $289.98	Facility		$101.58	$175.34	$289.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $121.16 / $269.85	Professional		$50.38	$121.16	$269.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $136.94 / $332.00	Facility		$99.60	$136.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $86.59 / $151.88	Professional		$58.10	$86.59	$151.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Facility		$83.00	$83.00	$83.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $83.00 / $107.07	Professional		$70.55	$83.00	$107.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.93 / $202.61 / $338.45	Facility		$80.93	$202.61	$338.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $110.00 / $249.00	Professional		$51.33	$110.00	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.80 / $146.81	Professional		$34.86	$49.80	$146.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $83.00 / $107.07	Professional		$70.55	$83.00	$107.07