Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.11 / $156.11 / $156.11	Facility		$156.11	$156.11	$156.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $82.89 / $114.64	Professional		$62.50	$82.89	$114.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $73.34 / $178.34	Professional		$58.09	$73.34	$178.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $58.15 / $64.73	Facility		$58.15	$58.15	$64.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $64.73 / $122.89	Professional		$58.15	$64.73	$122.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $97.31 / $97.31	Facility		$97.31	$97.31	$97.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $109.02 / $291.14	Professional		$58.92	$109.02	$291.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $73.53 / $144.53	Professional		$62.50	$73.53	$144.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $81.31 / $81.31	Facility		$81.31	$81.31	$81.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $75.94 / $151.74	Professional		$66.11	$75.94	$151.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $555.00 / $597.00	Facility		$97.31	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $108.41 / $280.75	Professional		$58.92	$108.41	$280.75
United Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $48.46 / $48.46	Facility		$48.46	$48.46	$48.46
United Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $76.84 / $166.50	Professional		$56.22	$76.84	$166.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $81.31 / $81.31	Facility		$81.31	$81.31	$81.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $87.47 / $160.25	Professional		$66.45	$87.47	$160.25