Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $109.33 / $168.15	Facility		$89.25	$109.33	$168.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $109.33 / $168.15	Professional		$79.72	$109.33	$168.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $165.92 / $331.84	Facility		$165.92	$165.92	$331.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $127.78 / $255.67	Professional		$127.78	$127.78	$255.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $121.77 / $162.78	Facility		$16.66	$121.77	$162.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $121.77 / $162.78	Professional		$16.66	$121.77	$162.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $148.61	Professional		$102.26	$120.30	$148.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $165.92 / $319.00 / $373.32	Facility		$165.92	$319.00	$373.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.87 / $124.44 / $165.92	Professional		$102.87	$124.44	$165.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.08 / $157.08 / $157.08	Facility		$157.08	$157.08	$157.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $149.13 / $157.08	Professional		$140.36	$149.13	$157.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $555.00	Facility		$120.30	$120.30	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $120.30 / $148.61	Professional		$16.66	$120.30	$148.61
United Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $107.85 / $169.34	Professional		$60.08	$107.85	$169.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.61 / $140.36 / $140.36	Facility		$137.61	$140.36	$140.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $140.36 / $157.08	Professional		$140.36	$140.36	$157.08