Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $82.16 / $152.08	Facility		$64.27	$82.16	$152.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $95.35 / $119.02	Professional		$64.27	$95.35	$119.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.78 / $192.56 / $377.56	Facility		$188.78	$192.56	$377.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $105.98 / $293.56	Professional		$105.98	$105.98	$293.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $157.29 / $157.29	Facility		$146.28	$157.29	$157.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $157.29 / $157.29	Professional		$157.29	$157.29	$157.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $121.82	Professional		$88.93	$88.93	$121.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $188.78 / $320.93 / $424.76	Facility		$188.78	$320.93	$424.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $141.59 / $339.80	Professional		$97.49	$141.59	$339.80
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $80.30 / $80.30	Facility		$80.30	$80.30	$80.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $109.18 / $135.38	Professional		$80.30	$109.18	$135.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $555.00	Facility		$121.82	$121.82	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $112.47 / $272.81	Professional		$88.93	$112.47	$272.81
United Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $97.73 / $172.68	Professional		$62.79	$97.73	$172.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.18 / $109.18 / $117.92	Facility		$109.18	$109.18	$117.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $109.18 / $116.00	Professional		$80.30	$109.18	$116.00