Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $187.20 / $336.00	Facility		$120.00	$187.20	$336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $174.00	Professional		$102.00	$120.00	$174.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $312.00	Facility		$120.00	$120.00	$312.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $48.00 / $173.04	Professional		$4.87	$48.00	$173.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $120.00 / $120.00	Facility		$72.00	$120.00	$120.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $120.00 / $120.00	Professional		$87.60	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.86 / $253.50 / $419.00	Facility		$146.86	$253.50	$419.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $186.44 / $389.01	Professional		$72.95	$186.44	$389.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $250.00 / $332.00	Facility		$120.00	$250.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $125.20 / $219.60	Professional		$84.00	$125.20	$219.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $114.00 / $214.03	Professional		$96.00	$114.00	$214.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $292.87 / $555.00	Facility		$117.00	$292.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $210.00 / $387.28	Professional		$76.12	$210.00	$387.28
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $186.00	Professional		$50.40	$72.00	$186.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $127.20 / $127.20	Facility		$127.20	$127.20	$127.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $141.24	Professional		$102.00	$120.00	$141.24