Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $82.87 / $131.41	Facility		$56.86	$82.87	$131.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $64.61 / $123.58	Professional		$55.47	$64.61	$123.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $71.63 / $132.94	Professional		$58.30	$71.63	$132.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $107.57 / $107.57	Facility		$107.57	$107.57	$107.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $107.57 / $107.57	Professional		$107.57	$107.57	$107.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $83.52	Facility		$83.52	$83.52	$83.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $111.18 / $220.16	Professional		$61.43	$111.18	$220.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.07 / $319.00 / $332.00	Facility		$113.07	$319.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $104.97 / $153.47	Professional		$79.52	$104.97	$153.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $68.53 / $68.53	Facility		$68.53	$68.53	$68.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $108.58 / $148.41	Professional		$64.84	$108.58	$148.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $555.00	Facility		$83.52	$83.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $110.29 / $199.92	Professional		$73.95	$110.29	$199.92
United Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $85.66 / $171.77	Professional		$57.77	$85.66	$171.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.53 / $68.53 / $68.53	Facility		$68.53	$68.53	$68.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $109.64 / $186.14	Professional		$70.45	$109.64	$186.14