Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $160.78 / $283.14	Facility		$101.12	$160.78	$283.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $158.90 / $284.45	Professional		$78.87	$158.90	$284.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $262.91	Facility		$101.12	$101.12	$262.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $77.66 / $227.22	Professional		$40.45	$77.66	$227.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $101.12 / $101.12	Facility		$60.67	$101.12	$101.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $101.12 / $101.12	Professional		$101.12	$101.12	$101.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.76 / $213.62 / $352.72	Facility		$123.76	$213.62	$352.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $157.16 / $328.26	Professional		$61.34	$157.16	$328.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $131.46 / $332.00	Facility		$73.06	$131.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $106.18 / $189.09	Professional		$70.78	$106.18	$189.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $96.06 / $180.35	Professional		$80.90	$96.06	$180.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $246.90 / $555.00	Facility		$98.60	$246.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $155.00 / $303.36	Professional		$65.73	$155.00	$303.36
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $60.67 / $158.74	Professional		$42.47	$60.67	$158.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.19 / $107.19 / $107.19	Facility		$107.19	$107.19	$107.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $101.12 / $119.02	Professional		$85.95	$101.12	$119.02