Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $190.55	Facility		$107.15	$141.25	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $213.80	Professional		$112.20	$147.91	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $131.83 / $208.93	Professional		$0.79	$131.83	$208.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $239.88	Professional		$177.83	$177.83	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $512.86	Professional		$120.23	$218.78	$512.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $426.58	Facility		$104.71	$104.71	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $338.84	Professional		$181.97	$239.88	$338.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $151.36	Facility		$131.83	$144.54	$151.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $338.84	Professional		$112.20	$181.97	$338.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $575.44	Professional		$186.21	$239.88	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $389.05	Professional		$109.65	$165.96	$389.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $151.36	Facility		$128.82	$144.54	$151.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $316.23	Professional		$112.20	$173.78	$316.23