Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.90 / $100.31 / $138.06	Facility		$88.90	$100.31	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $100.31 / $138.06	Professional		$88.90	$100.31	$138.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $126.57 / $253.14	Facility		$126.57	$126.57	$253.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $102.98 / $236.14	Professional		$102.98	$102.98	$236.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $108.39 / $143.76	Facility		$15.80	$108.39	$143.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $108.39 / $143.76	Professional		$15.80	$108.39	$143.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $119.33	Professional		$82.11	$96.60	$119.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $284.77 / $332.00	Facility		$126.57	$284.77	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $101.03 / $126.57	Professional		$78.47	$101.03	$126.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $116.50 / $116.50	Facility		$116.50	$116.50	$116.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $134.66 / $143.08	Professional		$116.50	$134.66	$143.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $555.00	Facility		$96.60	$96.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $96.60 / $119.33	Professional		$17.95	$96.60	$119.33
United Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $93.32 / $154.25	Professional		$47.93	$93.32	$154.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $134.66 / $157.40	Facility		$134.66	$134.66	$157.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $134.66 / $143.08	Professional		$116.50	$134.66	$143.08