Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $184.40 / $413.06	Facility		$119.49	$184.40	$413.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $125.39 / $261.11	Professional		$15.25	$125.39	$261.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $83.58 / $297.99	Professional		$48.68	$83.58	$297.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $147.52 / $147.52	Facility		$88.51	$147.52	$147.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $147.52 / $147.52	Professional		$107.69	$147.52	$147.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $351.78 / $360.12	Facility		$298.89	$351.78	$360.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $200.15 / $449.54	Professional		$103.79	$200.15	$449.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $186.00 / $186.00	Facility		$139.52	$186.00	$186.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $133.22 / $268.77	Professional		$103.26	$133.22	$268.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $147.52 / $267.50	Professional		$133.22	$147.52	$267.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $351.78 / $360.12	Facility		$351.78	$351.78	$360.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $160.80 / $435.35	Professional		$23.00	$160.80	$435.35
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $88.51 / $228.60	Professional		$31.88	$88.51	$228.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $159.12 / $392.02	Professional		$140.13	$159.12	$392.02