Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $136.12 / $237.67	Facility		$95.90	$136.12	$237.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $130.72	Professional		$95.90	$95.90	$130.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.72 / $76.72 / $95.90	Facility		$76.72	$76.72	$95.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $1,304.98	Professional		$95.90	$95.90	$1,304.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $197.46 / $197.46 / $207.33	Facility		$197.46	$197.46	$207.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $197.46 / $197.46	Professional		$197.46	$197.46	$197.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $263.94 / $344.51	Facility		$90.47	$263.94	$344.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $203.31	Professional		$95.90	$95.90	$203.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $149.28 / $346.00	Facility		$104.04	$149.28	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $104.04 / $131.38	Professional		$99.52	$104.04	$131.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $99.52	Facility		$95.90	$95.90	$99.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $99.52 / $99.52	Professional		$95.90	$99.52	$99.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $280.50 / $344.51	Facility		$90.47	$280.50	$344.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $293.00	Professional		$95.90	$95.90	$293.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.65 / $150.25	Professional		$95.90	$101.65	$150.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $99.52 / $99.52	Facility		$99.52	$99.52	$99.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $99.52 / $99.52	Professional		$95.90	$99.52	$99.52