Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $60.63 / $112.23	Facility		$47.42	$60.63	$112.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $60.68 / $87.83	Professional		$47.42	$60.68	$87.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $142.11 / $278.64	Facility		$139.32	$142.11	$278.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $74.05 / $214.74	Professional		$74.05	$74.05	$214.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $116.07 / $116.07	Facility		$107.95	$116.07	$116.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $116.07 / $116.07	Professional		$116.07	$116.07	$116.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $100.50	Professional		$56.28	$56.28	$100.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $294.00 / $332.00	Facility		$139.32	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $102.78 / $250.78	Professional		$71.94	$102.78	$250.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Facility		$74.73	$74.73	$74.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $83.75 / $99.91	Professional		$74.73	$83.75	$99.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.50 / $555.00	Facility		$77.09	$100.50	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $179.37	Professional		$56.28	$77.09	$179.37
United Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $70.86 / $127.42	Professional		$46.34	$70.86	$127.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $83.75 / $87.04	Facility		$83.75	$83.75	$87.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $83.75 / $88.99	Professional		$74.73	$83.75	$88.99