Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $234.00 / $420.00	Facility		$142.50	$234.00	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $127.50 / $217.50	Professional		$100.00	$127.50	$217.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $390.00	Facility		$150.00	$150.00	$390.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $60.00 / $216.30	Professional		$42.12	$60.00	$216.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $150.00 / $150.00	Facility		$90.00	$150.00	$150.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $150.00 / $150.00	Professional		$34.76	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $316.88 / $400.52	Facility		$183.50	$316.88	$400.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $233.04 / $487.13	Professional		$91.13	$233.04	$487.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $195.00 / $337.50	Facility		$45.00	$195.00	$337.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $156.50 / $274.50	Professional		$105.00	$156.50	$274.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $142.50 / $267.52	Professional		$120.00	$142.50	$267.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $146.25 / $366.08 / $540.32	Facility		$146.25	$366.08	$540.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $183.77 / $450.00	Professional		$95.10	$183.77	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $227.34	Professional		$63.00	$90.00	$227.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $159.00 / $174.19	Facility		$159.00	$159.00	$174.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $150.00 / $183.50	Professional		$120.00	$150.00	$183.50