Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $154.01 / $277.73	Facility		$126.24	$154.01	$277.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $355.46	Professional		$127.45	$127.45	$355.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.96 / $101.96 / $127.45	Facility		$101.96	$101.96	$127.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $222.67	Professional		$127.45	$127.45	$222.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $133.59 / $140.27	Facility		$133.59	$133.59	$140.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.59 / $133.59 / $133.59	Professional		$133.59	$133.59	$133.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $144.02	Facility		$120.24	$120.24	$144.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $180.00 / $332.00	Facility		$120.24	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $138.27 / $226.32	Professional		$138.27	$138.27	$226.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $129.86	Facility		$127.45	$127.45	$129.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $129.86	Professional		$127.45	$127.45	$129.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $555.00	Facility		$120.24	$120.24	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $203.96	Professional		$127.45	$127.45	$203.96
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $198.91	Professional		$127.45	$127.45	$198.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $129.86 / $129.86	Facility		$129.86	$129.86	$129.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $129.86 / $471.39	Professional		$127.45	$129.86	$471.39