Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $264.43	Facility		$84.49	$84.49	$264.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $118.09	Professional		$84.48	$84.49	$118.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $82.83 / $82.83	Professional		$76.56	$82.83	$82.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $75.52 / $75.52	Facility		$75.52	$75.52	$75.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $75.52 / $75.52	Professional		$75.52	$75.52	$75.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.12 / $89.73 / $92.77	Facility		$87.12	$89.73	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.46 / $89.46 / $154.77	Facility		$89.46	$89.46	$154.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $89.46 / $89.46	Professional		$76.04	$89.46	$89.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $82.83 / $84.49	Facility		$82.83	$82.83	$84.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $82.83 / $84.49	Professional		$82.83	$82.83	$84.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.73 / $89.73 / $597.00	Facility		$89.73	$89.73	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $92.77	Professional		$35.00	$35.00	$92.77
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $99.40 / $153.72	Professional		$82.83	$99.40	$153.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $94.36	Facility		$84.49	$84.49	$94.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $84.49 / $94.36	Professional		$82.83	$84.49	$94.36