Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $139.32 / $315.07	Facility		$79.61	$139.32	$315.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $117.29 / $125.61	Professional		$79.61	$117.29	$125.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $48.56	Professional		$6.00	$6.00	$48.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $105.33 / $105.33	Facility		$63.20	$105.33	$105.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $105.33 / $105.33	Professional		$76.89	$105.33	$105.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $73.09 / $223.49	Facility		$71.66	$73.09	$223.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $105.33 / $383.72	Professional		$91.48	$105.33	$383.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $119.42 / $332.00	Facility		$79.61	$119.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $62.14 / $145.69	Professional		$36.38	$62.14	$145.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $79.61 / $104.36	Professional		$63.03	$79.61	$104.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $223.49 / $555.00	Facility		$19.91	$223.49	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $105.33 / $164.00	Professional		$59.71	$105.33	$164.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $61.41 / $168.45	Professional		$40.29	$61.41	$168.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $94.21 / $140.86	Facility		$94.21	$94.21	$140.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.03 / $88.62 / $113.87	Professional		$63.03	$88.62	$113.87