Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $109.39 / $151.94	Facility		$96.71	$109.39	$151.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $111.67 / $151.94	Professional		$84.93	$111.67	$151.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $136.38 / $272.77	Facility		$136.38	$136.38	$272.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $113.17 / $270.10	Professional		$113.17	$113.17	$270.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $124.52 / $162.10	Facility		$16.57	$124.52	$162.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $124.52 / $162.10	Professional		$16.57	$124.52	$162.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $123.50 / $134.41	Professional		$12.35	$123.50	$134.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $306.88 / $332.00	Facility		$136.38	$306.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $115.56 / $136.38	Professional		$84.56	$115.56	$136.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $158.78 / $158.78	Facility		$158.78	$158.78	$158.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $158.78 / $163.63	Professional		$150.97	$158.78	$163.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $555.00	Facility		$123.50	$123.50	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $121.41 / $132.84	Professional		$18.19	$121.41	$132.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $109.05 / $174.73	Professional		$52.24	$109.05	$174.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $154.00 / $154.00	Facility		$150.97	$154.00	$154.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $163.63	Professional		$154.00	$154.00	$163.63