Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $89.26 / $176.32	Facility		$73.16	$89.26	$176.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.65 / $206.80	Professional		$75.90	$76.65	$206.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $60.73 / $75.91	Facility		$60.73	$60.73	$75.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $75.91 / $84.77	Professional		$65.15	$75.91	$84.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.60 / $56.60 / $59.43	Facility		$56.60	$56.60	$59.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $56.60 / $56.60	Professional		$56.60	$56.60	$56.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $71.61 / $75.91	Facility		$57.74	$71.61	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $107.42 / $332.00	Facility		$71.61	$107.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $78.77 / $104.38	Professional		$78.77	$78.77	$104.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $78.77	Facility		$75.91	$75.91	$78.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $78.77	Professional		$75.91	$75.91	$78.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.74 / $71.61 / $555.00	Facility		$57.74	$71.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $75.91 / $96.09	Professional		$70.89	$75.91	$96.09
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $113.87	Professional		$75.91	$75.91	$113.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $78.77 / $78.77	Facility		$78.77	$78.77	$78.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $75.91 / $78.77	Professional		$39.64	$75.91	$78.77