Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $109.23 / $219.13	Facility		$109.23	$109.23	$219.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $109.37 / $239.32	Professional		$51.99	$109.37	$239.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $103.10 / $257.10	Professional		$38.74	$103.10	$257.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $70.69 / $124.04	Facility		$29.60	$70.69	$124.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $99.21 / $194.72	Professional		$63.20	$99.21	$194.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.58 / $208.45 / $222.38	Facility		$184.58	$208.45	$222.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $123.24 / $309.27	Professional		$45.73	$123.24	$309.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $127.29 / $259.18	Professional		$100.00	$127.29	$259.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $185.71 / $288.67	Professional		$111.28	$185.71	$288.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $208.45 / $208.45 / $222.38	Facility		$208.45	$208.45	$222.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $130.68 / $303.50	Professional		$49.51	$130.68	$303.50
United Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $94.88 / $244.08	Professional		$65.81	$94.88	$244.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $185.71 / $374.81	Professional		$125.37	$185.71	$374.81