Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.42 / $116.58 / $384.37	Facility		$75.42	$116.58	$384.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $98.11 / $234.07	Professional		$75.42	$98.11	$234.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.22 / $80.80 / $198.34	Professional		$61.22	$80.80	$198.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.54 / $130.54 / $130.54	Facility		$130.54	$130.54	$130.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $130.54 / $130.54	Professional		$130.54	$130.54	$130.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $140.16	Facility		$103.37	$103.37	$140.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $137.03 / $268.07	Professional		$91.13	$137.03	$268.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $120.79 / $332.00	Facility		$29.00	$120.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $124.49 / $187.23	Professional		$91.84	$124.49	$187.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $114.91 / $196.15	Professional		$71.19	$114.91	$196.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $597.00	Facility		$103.37	$103.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $131.38 / $268.07	Professional		$90.14	$131.38	$268.07
United Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $105.88 / $234.92	Professional		$75.64	$105.88	$234.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $99.20 / $367.68	Facility		$99.20	$99.20	$367.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $124.67 / $236.39	Professional		$71.19	$124.67	$236.39