Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $130.66 / $136.87	Facility		$130.66	$130.66	$136.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.19 / $158.10	Professional		$130.66	$134.19	$158.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.35 / $107.35 / $134.19	Facility		$107.35	$107.35	$134.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $226.00	Professional		$134.19	$134.19	$226.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $135.59 / $135.59	Facility		$135.59	$135.59	$135.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $135.59 / $135.59	Professional		$135.59	$135.59	$135.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $161.59	Facility		$126.60	$126.60	$161.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $208.89 / $346.00	Facility		$145.59	$208.89	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $170.72 / $231.68	Professional		$145.11	$170.72	$231.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $139.26	Facility		$134.19	$134.19	$139.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $139.26	Professional		$134.19	$134.19	$139.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $555.00	Facility		$126.60	$126.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $177.04 / $199.94	Professional		$35.00	$177.04	$199.94
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $158.34 / $195.08	Professional		$134.19	$158.34	$195.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $127.28 / $139.26 / $139.26	Facility		$127.28	$139.26	$139.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.45 / $127.28 / $139.26	Professional		$119.45	$127.28	$139.26