Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.43 / $114.46 / $205.44	Facility		$59.43	$114.46	$205.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $57.23 / $109.39	Professional		$41.11	$57.23	$109.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $73.37 / $190.76	Facility		$73.37	$73.37	$190.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $40.54 / $159.18	Professional		$30.18	$40.54	$159.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $73.37 / $73.37	Facility		$44.02	$73.37	$73.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $73.37 / $73.37	Professional		$53.56	$73.37	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.73 / $154.99 / $195.60	Facility		$89.73	$154.99	$195.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $98.20 / $236.59	Professional		$44.47	$98.20	$236.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $154.08 / $332.00	Facility		$73.37	$154.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $77.04 / $134.27	Professional		$51.36	$77.04	$134.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $73.37 / $133.04	Professional		$62.36	$73.37	$133.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $178.79 / $264.33	Facility		$71.54	$178.79	$264.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $94.30 / $220.11	Professional		$45.59	$94.30	$220.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $111.20	Professional		$30.82	$44.02	$111.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $98.78	Facility		$77.77	$77.77	$98.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $75.81 / $107.41	Professional		$62.36	$75.81	$107.41