Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $91.33 / $154.96	Facility		$74.86	$91.33	$154.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.73 / $90.58	Professional		$75.97	$76.73	$90.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $75.97	Facility		$60.78	$60.78	$75.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $132.12	Professional		$75.97	$75.97	$132.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $119.38 / $119.38 / $131.32	Facility		$119.38	$119.38	$131.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $119.38 / $119.38	Professional		$119.38	$119.38	$119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $129.19	Facility		$71.67	$71.67	$129.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $107.51 / $332.00	Facility		$71.67	$107.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $183.54	Professional		$75.97	$75.97	$183.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $78.84	Facility		$75.97	$75.97	$78.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $78.84	Professional		$75.97	$75.97	$78.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $555.00	Facility		$71.67	$71.67	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $75.97 / $183.12	Professional		$73.52	$75.97	$183.12
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $124.86	Professional		$75.97	$75.97	$124.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Facility		$78.84	$78.84	$78.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $78.84	Professional		$75.97	$75.97	$78.84