Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $132.21 / $1,560.88	Facility		$111.79	$132.21	$1,560.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $134.47 / $161.38	Professional		$111.79	$134.47	$161.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $135.02 / $135.02	Professional		$135.02	$135.02	$135.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $120.13 / $120.13	Facility		$120.13	$120.13	$120.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $120.13 / $120.13	Professional		$120.13	$120.13	$120.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $130.03 / $137.72	Facility		$85.00	$130.03	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $137.66 / $223.03	Facility		$137.66	$137.66	$223.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.02 / $137.66 / $137.66	Professional		$117.02	$137.66	$137.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.68 / $143.08 / $143.08	Facility		$137.68	$143.08	$143.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $143.08 / $143.08	Professional		$137.68	$143.08	$143.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $130.03 / $597.00	Facility		$126.25	$130.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $207.40	Professional		$153.91	$153.91	$207.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $137.68 / $137.68	Facility		$43.24	$137.68	$137.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $137.68 / $143.08	Professional		$43.24	$137.68	$143.08