Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.97 / $137.59 / $246.96	Facility		$74.97	$137.59	$246.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $68.80 / $127.89	Professional		$49.68	$68.80	$127.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $88.20 / $229.32	Facility		$88.20	$88.20	$229.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $35.28 / $127.18	Professional		$27.36	$35.28	$127.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $88.20 / $88.20	Facility		$52.92	$88.20	$88.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $88.20 / $88.20	Professional		$49.36	$88.20	$88.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $186.32 / $235.65	Facility		$107.97	$186.32	$235.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $137.12 / $286.20	Professional		$53.45	$137.12	$286.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $193.00 / $332.00	Facility		$105.84	$193.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $92.02 / $161.41	Professional		$61.74	$92.02	$161.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $83.79 / $157.31	Professional		$70.56	$83.79	$157.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $215.40 / $317.89	Facility		$86.00	$215.40	$317.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $107.85 / $241.60	Professional		$55.00	$107.85	$241.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.92 / $133.66	Professional		$37.04	$52.92	$133.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $93.49 / $93.49	Facility		$81.09	$93.49	$93.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $88.20 / $103.81	Professional		$74.97	$88.20	$103.81