Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.44 / $179.69 / $402.50	Facility		$116.44	$179.69	$402.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $129.81 / $230.00	Professional		$76.19	$129.81	$230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $71.56 / $266.52	Professional		$54.65	$71.56	$266.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $143.75 / $143.75	Facility		$86.25	$143.75	$143.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $143.75 / $143.75	Professional		$104.94	$143.75	$143.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.13 / $301.18 / $350.76	Facility		$291.13	$301.18	$350.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $187.83 / $436.29	Professional		$90.98	$187.83	$436.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $70.30 / $174.65	Facility		$70.30	$70.30	$174.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $121.76 / $261.91	Professional		$100.63	$121.76	$261.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $136.56 / $260.66	Professional		$122.19	$136.56	$260.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $301.18 / $301.18 / $350.76	Facility		$301.18	$301.18	$350.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $171.35 / $372.83	Professional		$52.50	$171.35	$372.83
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $86.25 / $204.44	Professional		$29.76	$86.25	$204.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $143.75 / $382.00	Professional		$129.04	$143.75	$382.00