Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $201.92	Facility		$145.07	$145.07	$201.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $182.93 / $273.45	Professional		$132.97	$182.93	$273.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $371.89	Professional		$194.57	$194.57	$371.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $28.91 / $375.83	Facility		$28.91	$28.91	$375.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $375.83	Professional		$28.91	$28.91	$375.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $152.03 / $303.75	Professional		$22.55	$152.03	$303.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $257.52 / $257.52	Professional		$206.02	$257.52	$257.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.52 / $257.52 / $257.52	Facility		$257.52	$257.52	$257.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $283.72 / $301.45	Professional		$257.52	$283.72	$301.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $555.00	Facility		$178.86	$178.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $152.03 / $304.66	Professional		$32.26	$152.03	$304.66
United Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $140.18 / $257.22	Professional		$89.38	$140.18	$257.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $283.72 / $283.72	Facility		$197.11	$283.72	$283.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $283.72 / $301.45	Professional		$257.52	$283.72	$301.45