Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $201.96 / $366.00	Facility		$94.43	$201.96	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $94.43 / $228.49	Professional		$62.02	$94.43	$228.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $113.85 / $197.24	Professional		$90.09	$113.85	$197.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Professional		$159.91	$159.91	$159.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $125.00 / $250.00	Facility		$80.00	$125.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $128.96 / $312.55	Professional		$93.64	$128.96	$312.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $174.72 / $332.00	Facility		$76.00	$174.72	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $190.60	Professional		$45.00	$45.00	$190.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $28.12 / $143.38	Facility		$28.12	$28.12	$143.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $92.02 / $153.01	Professional		$29.53	$92.02	$153.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $350.00 / $597.00	Facility		$80.00	$350.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $129.74 / $271.19	Professional		$83.50	$129.74	$271.19
United Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $108.68 / $108.68	Facility		$86.94	$108.68	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $101.45 / $212.31	Professional		$80.44	$101.45	$212.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $120.74 / $188.89	Facility		$105.89	$120.74	$188.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $114.58 / $236.06	Professional		$85.62	$114.58	$236.06