Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $198.21	Professional		$180.20	$180.20	$198.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $173.28 / $223.54	Professional		$160.21	$173.28	$223.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $157.07 / $157.07 / $157.07	Facility		$157.07	$157.07	$157.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $157.07 / $157.07	Professional		$157.07	$157.07	$157.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.20 / $186.63 / $768.56	Facility		$181.20	$186.63	$768.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.26 / $230.54 / $346.00	Facility		$141.26	$230.54	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $196.52 / $226.00	Professional		$159.91	$196.52	$226.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $185.50 / $185.50	Facility		$185.50	$185.50	$185.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.50 / $185.50 / $201.40	Professional		$185.50	$185.50	$201.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $186.63 / $768.56	Facility		$186.63	$186.63	$768.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $203.81	Professional		$45.00	$45.00	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.36 / $275.43	Professional		$181.97	$218.36	$275.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $185.50 / $185.50	Facility		$147.97	$185.50	$185.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $147.97 / $201.40	Professional		$147.97	$147.97	$201.40