Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.88 / $111.50 / $788.00	Facility		$79.88	$111.50	$788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $90.91 / $122.72	Professional		$79.39	$90.91	$122.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $82.83 / $164.63	Professional		$66.70	$82.83	$164.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $126.68 / $126.68	Facility		$126.68	$126.68	$126.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $126.68 / $126.68	Professional		$126.68	$126.68	$126.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $126.21 / $274.02	Professional		$74.48	$126.21	$274.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $284.39 / $416.93	Facility		$136.32	$284.39	$416.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $118.03 / $186.09	Professional		$94.71	$118.03	$186.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.62 / $82.62 / $94.04	Facility		$82.62	$82.62	$94.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $110.71 / $201.72	Professional		$72.76	$110.71	$201.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $125.99 / $282.55	Professional		$88.71	$125.99	$282.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $100.88 / $204.19	Professional		$75.30	$100.88	$204.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.62 / $94.04 / $335.50	Facility		$82.62	$94.04	$335.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $119.38 / $224.45	Professional		$79.93	$119.38	$224.45