Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $201.10 / $366.00	Facility		$93.01	$201.10	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $93.21 / $255.81	Professional		$66.95	$93.21	$255.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $112.12 / $199.92	Professional		$89.43	$112.12	$199.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Facility		$156.66	$156.66	$156.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Professional		$156.66	$156.66	$156.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $124.79 / $226.00	Facility		$80.00	$124.79	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $125.14 / $307.67	Professional		$95.16	$125.14	$307.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $171.80 / $332.00	Facility		$81.00	$171.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $92.55 / $194.70	Professional		$45.00	$92.55	$194.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $29.32 / $141.25	Facility		$29.32	$29.32	$141.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $90.68 / $150.44	Professional		$30.79	$90.68	$150.44
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 $86.71 / $126.83 / $266.54	Professional		$86.71	$126.83	$266.54
United Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $100.86 / $211.40	Professional		$80.02	$100.86	$211.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.12 / $118.97 / $195.60	Facility		$104.12	$118.97	$195.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $112.91 / $235.24	Professional		$84.28	$112.91	$235.24