Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.77 / $129.77 / $129.77	Facility		$129.77	$129.77	$129.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $160.93 / $220.80	Professional		$120.21	$160.93	$220.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $144.69 / $261.80	Professional		$0.80	$144.69	$261.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $249.60 / $249.60	Facility		$249.60	$249.60	$249.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $249.60 / $249.60	Professional		$249.60	$249.60	$249.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $135.72 / $380.90	Professional		$115.47	$135.72	$380.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $149.49 / $183.37	Professional		$122.64	$149.49	$183.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $156.51 / $197.91	Professional		$134.13	$156.51	$197.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $135.72 / $304.72	Professional		$115.47	$135.72	$304.72
United Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $195.04 / $375.90	Professional		$129.79	$195.04	$375.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $197.91 / $197.91 / $445.04	Facility		$197.91	$197.91	$445.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $178.75 / $214.50	Professional		$114.01	$178.75	$214.50