Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.75 / $238.96 / $430.03	Facility		$127.75	$238.96	$430.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $127.75 / $281.04	Professional		$111.58	$127.75	$281.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $150.29 / $390.75	Facility		$150.29	$150.29	$390.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $102.90 / $404.25	Professional		$76.64	$102.90	$404.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $150.29 / $150.29	Facility		$90.17	$150.29	$150.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $150.29 / $150.29	Professional		$109.71	$150.29	$150.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $366.94 / $1,615.04	Facility		$183.93	$366.94	$1,615.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $242.81 / $485.56	Professional		$115.55	$242.81	$485.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $195.38 / $346.00	Facility		$84.40	$195.38	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $156.80 / $281.04	Professional		$105.20	$156.80	$281.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $142.78 / $264.35	Professional		$101.00	$142.78	$264.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $146.54 / $366.94 / $1,794.49	Facility		$146.54	$366.94	$1,794.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $271.89 / $492.40	Professional		$120.60	$271.89	$492.40
United Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $97.69 / $283.31	Professional		$70.02	$97.69	$283.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.32 / $165.32 / $553.57	Facility		$165.32	$165.32	$553.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $159.03 / $399.38	Professional		$129.00	$159.03	$399.38