Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $107.86 / $151.83	Facility		$88.28	$107.86	$151.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $90.10 / $128.07	Professional		$78.93	$90.10	$128.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $84.00 / $169.13	Professional		$67.64	$84.00	$169.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $121.98 / $121.98	Facility		$121.98	$121.98	$121.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $121.98 / $121.98	Professional		$121.98	$121.98	$121.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.17 / $96.70 / $443.61	Facility		$79.17	$96.70	$443.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $130.59 / $270.83	Professional		$88.45	$130.59	$270.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $139.16 / $332.00	Facility		$84.00	$139.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $113.19 / $171.47	Professional		$87.08	$113.19	$171.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $60.02 / $79.02	Facility		$60.02	$60.02	$79.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $91.81 / $170.75	Professional		$65.31	$91.81	$170.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $104.92 / $597.00	Facility		$95.38	$104.92	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $122.22 / $254.41	Professional		$91.01	$122.22	$254.41
United Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $96.43 / $193.12	Professional		$72.84	$96.43	$193.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $105.00 / $246.31	Facility		$79.02	$105.00	$246.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $105.14 / $216.30	Professional		$69.19	$105.14	$216.30