Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $123.03	Facility		$64.57	$83.18	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $131.83	Professional		$72.44	$100.00	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $138.04	Professional		$100.00	$117.49	$138.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $151.36	Professional		$93.33	$93.33	$151.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $125.89 / $467.74	Facility		$114.82	$125.89	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $213.80	Professional		$125.89	$151.36	$213.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $223.87	Professional		$85.11	$114.82	$223.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $229.09	Professional		$123.03	$147.91	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $229.09	Professional		$87.10	$117.49	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $112.20	Facility		$91.20	$97.72	$112.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $181.97	Professional		$85.11	$112.20	$181.97