Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.50 / $112.50 / $277.87	Facility		$112.50	$112.50	$277.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $277.87 / $351.52	Professional		$112.50	$277.87	$351.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $63.36 / $152.00	Professional		$32.00	$63.36	$152.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $171.94 / $258.02	Facility		$171.94	$171.94	$258.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $258.02 / $429.96	Professional		$171.94	$258.02	$429.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.31 / $353.38 / $445.71	Facility		$336.31	$353.38	$445.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $435.82 / $976.69	Professional		$308.08	$435.82	$976.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $42.42 / $42.42	Professional		$42.42	$42.42	$42.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $96.50 / $151.44	Professional		$47.67	$96.50	$151.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $405.19 / $597.00	Facility		$353.38	$405.19	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $355.96 / $886.17	Professional		$250.00	$355.96	$886.17
United Facility/Professional Professional Modifier Low / Median / High Price $235.39 / $315.91 / $668.56	Professional		$235.39	$315.91	$668.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $98.83 / $169.75	Facility		$65.20	$98.83	$169.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $98.83 / $182.51	Professional		$47.67	$98.83	$182.51