Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $108.80 / $119.61	Facility		$108.80	$108.80	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $119.61 / $119.61	Professional		$94.99	$119.61	$119.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $106.67 / $106.67	Professional		$99.23	$106.67	$106.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $21.50 / $21.50	Facility		$21.50	$21.50	$21.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $21.50 / $21.50	Professional		$21.50	$21.50	$21.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $102.18 / $358.79	Facility		$99.20	$102.18	$358.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $32.72 / $332.00	Facility		$19.25	$32.72	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $31.67 / $31.67	Professional		$23.10	$31.67	$31.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $30.79	Facility		$30.79	$30.79	$30.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $33.43	Professional		$30.79	$30.79	$33.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $102.18 / $358.79	Facility		$99.20	$102.18	$358.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $131.35	Professional		$17.00	$17.00	$131.35
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $140.74 / $173.41	Professional		$117.28	$140.74	$173.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $44.51	Facility		$30.79	$30.79	$44.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $33.43 / $44.51	Professional		$30.79	$33.43	$44.51