Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $149.22 / $223.85	Facility		$149.22	$149.22	$223.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $149.22 / $158.56	Professional		$128.71	$149.22	$158.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $41.57 / $51.96	Facility		$41.57	$41.57	$51.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $155.44 / $155.44	Professional		$151.81	$155.44	$155.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.52 / $139.52 / $153.47	Facility		$139.52	$139.52	$153.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $139.52 / $139.52	Professional		$139.52	$139.52	$139.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $55.12 / $158.56	Facility		$53.52	$55.12	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.76 / $150.76 / $244.23	Facility		$150.76	$150.76	$244.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $158.19 / $181.93	Professional		$158.19	$158.19	$181.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $155.10 / $158.19	Facility		$155.10	$155.10	$158.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $155.10 / $158.19	Professional		$155.10	$155.10	$158.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.12 / $55.12 / $597.00	Facility		$55.12	$55.12	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $231.36	Professional		$158.56	$158.56	$231.36
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $217.84	Professional		$155.44	$155.44	$217.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $158.19 / $158.19 / $158.19	Facility		$158.19	$158.19	$158.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.18 / $155.10 / $158.19	Professional		$60.18	$155.10	$158.19