Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $84.26 / $144.04	Facility		$49.06	$84.26	$144.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $84.61 / $103.98	Professional		$60.62	$84.61	$103.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $49.39 / $67.50	Professional		$31.32	$49.39	$67.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $48.64 / $48.64	Facility		$48.64	$48.64	$48.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.97 / $270.76 / $872.68	Facility		$110.97	$270.76	$872.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $121.45 / $333.69	Professional		$49.00	$121.45	$333.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $250.00 / $332.00	Facility		$107.40	$250.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $85.92 / $156.27	Professional		$67.56	$85.92	$156.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $77.66 / $77.66	Facility		$77.66	$77.66	$77.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $89.31 / $230.90	Professional		$72.23	$89.31	$230.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $270.76 / $872.68	Facility		$66.03	$270.76	$872.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $177.42 / $333.69	Professional		$50.99	$177.42	$333.69
United Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $62.01 / $171.86	Professional		$41.24	$62.01	$171.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $122.42 / $122.42	Facility		$78.19	$122.42	$122.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $106.46 / $282.89	Professional		$73.78	$106.46	$282.89