Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $71.68 / $138.76	Facility		$63.86	$71.68	$138.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $74.72 / $138.76	Professional		$63.86	$74.72	$138.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $93.64 / $235.87	Professional		$93.64	$93.64	$235.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $122.25 / $122.25	Facility		$113.69	$122.25	$122.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $122.25 / $122.25	Professional		$122.25	$122.25	$122.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $108.90	Professional		$74.93	$74.93	$108.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $319.00 / $332.00	Facility		$146.72	$319.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $134.99 / $283.19	Professional		$82.22	$134.99	$283.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $102.78 / $102.78	Facility		$102.78	$102.78	$102.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $93.74 / $122.25	Professional		$88.22	$93.74	$122.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $555.00	Facility		$88.15	$88.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $212.81	Professional		$74.93	$88.15	$212.81
United Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $82.22 / $97.64	Facility		$46.99	$82.22	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $76.70 / $134.21	Professional		$48.80	$76.70	$134.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $88.22 / $88.22 / $105.03	Facility		$88.22	$88.22	$105.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $88.22 / $102.78	Professional		$88.22	$88.22	$102.78