Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $150.63 / $265.27	Facility		$80.53	$150.63	$265.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $104.88 / $196.38	Professional		$68.16	$104.88	$196.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $94.74 / $246.32	Facility		$94.74	$94.74	$246.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $61.60 / $219.25	Professional		$45.34	$61.60	$219.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $94.74 / $94.74	Facility		$56.84	$94.74	$94.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $94.74 / $94.74	Professional		$69.16	$94.74	$94.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $200.14 / $253.35	Facility		$116.07	$200.14	$253.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $152.15 / $367.98	Professional		$62.00	$152.15	$367.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $123.16 / $332.00	Facility		$46.00	$123.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $98.84 / $173.37	Professional		$66.31	$98.84	$173.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.74 / $171.79	Professional		$80.53	$94.74	$171.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.37 / $231.56 / $341.19	Facility		$92.37	$231.56	$341.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $136.65 / $306.22	Professional		$73.68	$136.65	$306.22
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.84 / $148.72	Professional		$39.79	$56.84	$148.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $100.42 / $179.21	Facility		$100.42	$100.42	$179.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.74 / $188.83	Professional		$80.53	$94.74	$188.83