Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $126.89 / $179.28	Facility		$76.34	$126.89	$179.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $89.04 / $121.88	Professional		$71.25	$89.04	$121.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $86.94 / $120.75	Professional		$0.81	$86.94	$120.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.17 / $123.17 / $123.17	Facility		$123.17	$123.17	$123.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $123.17 / $137.97	Professional		$123.17	$123.17	$137.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $150.16 / $150.16	Facility		$150.16	$150.16	$150.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $122.40 / $305.37	Professional		$67.51	$122.40	$305.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $319.00	Facility		$35.00	$35.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $147.46 / $211.81	Professional		$105.68	$147.46	$211.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.67 / $88.28 / $92.29	Facility		$82.67	$88.28	$92.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $100.39 / $202.47	Professional		$64.84	$100.39	$202.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $150.16 / $555.00	Facility		$150.16	$150.16	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $122.17 / $274.86	Professional		$65.22	$122.17	$274.86
United Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $112.22 / $263.19	Professional		$80.72	$112.22	$263.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $88.28 / $106.70	Facility		$84.26	$88.28	$106.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $120.13 / $225.55	Professional		$81.69	$120.13	$225.55