Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.87 / $176.01 / $263.91	Facility		$163.87	$176.01	$263.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $175.94 / $186.93	Professional		$151.74	$175.94	$186.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $6.33	Facility		$5.05	$5.05	$6.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $183.26 / $201.59	Facility		$183.26	$183.26	$201.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.72 / $186.93	Facility		$6.52	$6.72	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $302.83	Facility		$186.93	$186.93	$302.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $214.97	Professional		$186.93	$186.93	$214.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $183.26 / $186.93	Facility		$183.26	$183.26	$186.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $186.93	Professional		$183.26	$183.26	$186.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $6.72 / $597.00	Facility		$6.72	$6.72	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $186.93	Professional		$2.00	$2.00	$186.93
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $236.30	Professional		$183.26	$183.26	$236.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $183.26 / $186.93	Professional		$23.47	$183.26	$186.93