Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $152.88 / $275.70	Facility		$67.14	$152.88	$275.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $71.33 / $151.63	Professional		$57.90	$71.33	$151.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.26 / $100.26 / $125.32	Facility		$100.26	$100.26	$125.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $135.55	Professional		$46.67	$46.67	$135.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.44 / $169.44 / $186.38	Facility		$169.44	$169.44	$186.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.44 / $169.44 / $169.44	Professional		$169.44	$169.44	$169.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $183.36 / $183.36	Facility		$47.60	$183.36	$183.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $332.00 / $583.29	Facility		$118.22	$332.00	$583.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $360.06 / $414.07	Professional		$189.15	$360.06	$414.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $360.06	Facility		$49.47	$49.47	$360.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $49.47 / $360.06	Professional		$49.47	$49.47	$360.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $183.36 / $597.00	Facility		$47.60	$183.36	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $166.70	Professional		$47.60	$47.60	$166.70
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $73.12	Professional		$46.67	$46.67	$73.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $360.06 / $360.06 / $360.06	Facility		$360.06	$360.06	$360.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $49.47 / $360.06	Professional		$49.47	$49.47	$360.06