Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.50 / $184.14 / $184.14	Facility		$130.50	$184.14	$184.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $159.22 / $239.25	Professional		$107.21	$159.22	$239.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $430.88	Professional		$164.86	$164.86	$430.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $333.71	Facility		$25.67	$25.67	$333.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $25.67 / $333.71	Professional		$25.67	$25.67	$333.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $147.10 / $234.66	Facility		$64.00	$147.10	$234.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $30.72 / $30.72	Professional		$24.58	$30.72	$30.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $27.56 / $254.32	Professional		$25.94	$27.56	$254.32
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $22.12 / $22.12	Professional		$22.12	$22.12	$22.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $147.10 / $555.00	Facility		$64.00	$147.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $107.38 / $147.10	Professional		$28.89	$107.38	$147.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $18.70 / $148.59	Professional		$7.86	$18.70	$148.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $259.41 / $259.41	Facility		$25.00	$259.41	$259.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $30.72 / $259.41	Professional		$25.94	$30.72	$259.41