Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $70.44 / $135.00	Facility		$55.20	$70.44	$135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $80.23 / $96.99	Professional		$64.05	$80.23	$96.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $66.70 / $85.24	Professional		$45.64	$66.70	$85.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.32 / $105.32 / $105.32	Facility		$105.32	$105.32	$105.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $105.32 / $105.32	Professional		$105.32	$105.32	$105.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $119.00	Facility		$91.34	$91.34	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $95.00 / $233.00	Professional		$61.99	$95.00	$233.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $149.58 / $223.86	Professional		$103.16	$149.58	$223.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $79.63	Facility		$25.33	$25.33	$79.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $82.01 / $164.40	Professional		$64.40	$82.01	$164.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $555.00	Facility		$91.34	$91.34	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $100.00 / $233.00	Professional		$61.33	$100.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $94.83 / $223.94	Professional		$69.87	$94.83	$223.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.54 / $97.54	Facility		$75.86	$97.54	$97.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $97.54 / $389.46	Professional		$66.33	$97.54	$389.46