Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $158.09 / $268.23	Facility		$129.47	$158.09	$268.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $134.66 / $177.81	Professional		$129.47	$134.66	$177.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $103.58 / $129.47	Facility		$103.58	$103.58	$129.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.61 / $129.47 / $213.16	Professional		$126.61	$129.47	$213.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $124.12 / $130.33	Facility		$124.12	$124.12	$130.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $124.12 / $124.12	Professional		$124.12	$124.12	$124.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $129.88	Facility		$122.15	$122.15	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $180.00 / $332.00	Facility		$122.15	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $167.35	Professional		$128.72	$128.72	$167.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $131.91	Facility		$129.47	$129.47	$131.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $131.91	Professional		$129.47	$129.47	$131.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $555.00	Facility		$122.15	$122.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $184.30	Professional		$129.47	$129.47	$184.30
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $181.44	Professional		$129.47	$129.47	$181.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $131.91 / $131.91 / $131.91	Facility		$131.91	$131.91	$131.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $131.91	Professional		$129.47	$129.47	$131.91