Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.22 / $168.76 / $302.50	Facility		$90.22	$168.76	$302.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $58.07 / $106.14	Professional		$47.80	$58.07	$106.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $106.14 / $275.95	Facility		$106.14	$106.14	$275.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $54.13 / $163.00	Professional		$31.32	$54.13	$163.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $106.14 / $106.14	Facility		$63.68	$106.14	$106.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $106.14 / $106.14	Professional		$77.48	$106.14	$106.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $214.81 / $691.90	Facility		$74.17	$214.81	$691.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $107.39 / $511.59	Professional		$49.51	$107.39	$511.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $137.97 / $332.00	Facility		$42.60	$137.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $63.68 / $194.24	Professional		$42.46	$63.68	$194.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $90.22 / $111.27	Professional		$58.17	$90.22	$111.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.58 / $254.50 / $651.50	Facility		$76.58	$254.50	$651.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $107.94 / $164.52	Professional		$51.40	$107.94	$164.52
United Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $59.70 / $153.90	Professional		$44.58	$59.70	$153.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $122.06 / $237.15	Facility		$122.06	$122.06	$237.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $97.55 / $127.57	Professional		$58.17	$97.55	$127.57