Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $82.89 / $153.41	Facility		$64.84	$82.89	$153.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $83.22 / $120.07	Professional		$64.84	$83.22	$120.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $194.26 / $380.90	Facility		$190.45	$194.26	$380.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $105.27 / $294.75	Professional		$105.27	$105.27	$294.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $158.68 / $158.68	Facility		$147.57	$158.68	$158.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $158.68 / $158.68	Professional		$158.68	$158.68	$158.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $112.22	Professional		$81.92	$81.92	$112.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $323.77 / $428.51	Facility		$190.45	$323.77	$428.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $140.93 / $342.81	Professional		$102.82	$140.93	$342.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.53 / $128.53 / $128.53	Facility		$128.53	$128.53	$128.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $121.65 / $154.24	Professional		$114.50	$121.65	$154.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $555.00	Facility		$112.22	$112.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $112.22 / $295.20	Professional		$81.92	$112.22	$295.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $98.75 / $174.20	Professional		$63.34	$98.75	$174.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.17 / $114.50 / $114.50	Facility		$108.17	$114.50	$114.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $114.50 / $128.53	Professional		$114.50	$114.50	$128.53