Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $92.79 / $177.98	Facility		$84.98	$92.79	$177.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $92.32 / $127.46	Professional		$81.51	$92.32	$127.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $67.70	Professional		$33.32	$33.32	$67.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $120.00 / $120.00	Facility		$72.00	$120.00	$120.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $120.00 / $120.00	Professional		$87.60	$120.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $64.16 / $109.07	Facility		$43.00	$64.16	$109.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $132.16 / $411.32	Professional		$105.73	$132.16	$411.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $153.00 / $332.00	Facility		$42.00	$153.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $20.83 / $65.45	Professional		$16.10	$20.83	$65.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $154.00 / $154.00	Professional		$9.28	$154.00	$154.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $64.16 / $254.50	Facility		$32.15	$64.16	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $200.00 / $200.00	Professional		$132.16	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $105.05 / $105.05	Professional		$105.05	$105.05	$105.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $9.28 / $19.80	Facility		$9.28	$9.28	$19.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $143.57 / $154.00	Professional		$9.28	$143.57	$154.00