Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $175.91 / $394.04	Facility		$113.99	$175.91	$394.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $144.62 / $249.09	Professional		$22.92	$144.62	$249.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $79.73 / $283.14	Professional		$65.09	$79.73	$283.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $140.72 / $140.72	Facility		$84.44	$140.72	$140.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $140.72 / $140.72	Professional		$102.73	$140.72	$140.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.77 / $335.60 / $343.10	Facility		$284.77	$335.60	$343.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $190.92 / $428.74	Professional		$98.98	$190.92	$428.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $77.30 / $174.65	Facility		$77.30	$77.30	$174.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $133.22 / $256.41	Professional		$98.51	$133.22	$256.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $140.72 / $255.18	Professional		$133.22	$140.72	$255.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $335.60 / $335.60 / $343.10	Facility		$335.60	$335.60	$343.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $181.54 / $415.53	Professional		$52.50	$181.54	$415.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $84.44 / $213.29	Professional		$35.29	$84.44	$213.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $151.80 / $373.98	Professional		$133.69	$151.80	$373.98