Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $118.58 / $452.77	Facility		$73.81	$118.58	$452.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $90.78 / $187.82	Professional		$73.81	$90.78	$187.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $88.66 / $169.57	Professional		$69.81	$88.66	$169.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.92 / $120.92 / $120.92	Facility		$120.92	$120.92	$120.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $120.92 / $120.92	Professional		$120.92	$120.92	$120.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.01 / $112.76 / $350.00	Facility		$47.01	$112.76	$350.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $99.11 / $233.82	Professional		$71.61	$99.11	$233.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $107.26 / $332.00	Facility		$62.00	$107.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $116.84 / $174.86	Professional		$97.28	$116.84	$174.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $99.85 / $109.31	Facility		$80.58	$99.85	$109.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $79.87 / $126.85	Professional		$69.95	$79.87	$126.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $555.00 / $597.00	Facility		$60.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $102.90 / $220.22	Professional		$69.80	$102.90	$220.22
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $94.21 / $199.61	Professional		$71.52	$94.21	$199.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $91.78 / $112.82	Facility		$80.58	$91.78	$112.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $87.10 / $181.47	Professional		$69.95	$87.10	$181.47