Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.26 / $113.34 / $182.69	Facility		$68.26	$113.34	$182.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $85.08 / $148.60	Professional		$65.77	$85.08	$148.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $102.01 / $133.35	Professional		$0.80	$102.01	$133.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $123.74 / $123.74	Facility		$123.74	$123.74	$123.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $123.74 / $145.71	Professional		$123.74	$123.74	$145.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $135.15 / $259.19	Professional		$78.81	$135.15	$259.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $131.46 / $319.00 / $332.00	Facility		$131.46	$319.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $139.53 / $208.86	Professional		$112.04	$139.53	$208.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.25 / $96.25 / $96.25	Facility		$96.25	$96.25	$96.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $112.61 / $216.86	Professional		$83.24	$112.61	$216.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $555.00	Facility		$113.46	$113.46	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $136.68 / $258.39	Professional		$86.24	$136.68	$258.39
United Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $130.00 / $130.00	Facility		$111.00	$130.00	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $118.90 / $237.50	Professional		$76.14	$118.90	$237.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $96.25 / $96.25	Facility		$81.19	$96.25	$96.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $119.37 / $215.75	Professional		$97.93	$119.37	$215.75