Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.30 / $165.59 / $219.42	Facility		$102.30	$165.59	$219.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $128.34 / $191.48	Professional		$102.42	$128.34	$191.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.33 / $127.13 / $236.11	Professional		$99.33	$127.13	$236.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $93.12 / $93.12 / $99.69	Facility		$93.12	$93.12	$99.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $99.69 / $192.81	Professional		$93.12	$99.69	$192.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $99.75 / $144.69	Facility		$69.41	$99.75	$144.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $180.00 / $444.98	Professional		$99.18	$180.00	$444.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $76.31 / $332.00	Facility		$8.00	$76.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $178.95 / $262.83	Professional		$137.00	$178.95	$262.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Facility		$30.30	$30.30	$30.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $130.21 / $280.92	Professional		$99.98	$130.21	$280.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $144.69 / $597.00	Facility		$83.62	$144.69	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $184.92 / $417.94	Professional		$88.32	$184.92	$417.94
United Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $159.78 / $374.26	Professional		$110.58	$159.78	$374.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.99 / $142.99 / $275.43	Facility		$142.99	$142.99	$275.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $154.72 / $312.57	Professional		$107.82	$154.72	$312.57