Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $99.80 / $184.74	Facility		$73.67	$99.80	$184.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $99.80 / $126.89	Professional		$64.95	$99.80	$126.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $126.45 / $247.94	Facility		$123.97	$126.45	$247.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $119.07 / $326.95	Professional		$119.07	$119.07	$326.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $164.12 / $164.12	Facility		$152.63	$164.12	$164.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $164.12 / $164.12	Professional		$164.12	$164.12	$164.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $278.93 / $332.00	Facility		$123.97	$278.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $114.05 / $223.15	Professional		$76.86	$114.05	$223.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $145.44 / $145.44	Facility		$145.44	$145.44	$145.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $140.91 / $145.44	Professional		$132.62	$140.91	$145.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $133.72 / $555.00	Facility		$123.97	$133.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $200.63	Professional		$97.62	$133.72	$200.63
United Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $114.41 / $193.51	Professional		$76.28	$114.41	$193.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.62 / $132.62 / $153.22	Facility		$132.62	$132.62	$153.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $132.62 / $145.44	Professional		$132.62	$132.62	$145.44