Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $57.99 / $107.35	Facility		$45.37	$57.99	$107.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $57.99 / $84.02	Professional		$45.37	$57.99	$84.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $135.93 / $266.52	Facility		$133.26	$135.93	$266.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $78.30 / $211.32	Professional		$78.30	$78.30	$211.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $111.03 / $111.03	Facility		$103.26	$111.03	$111.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $111.03 / $111.03	Professional		$111.03	$111.03	$111.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $80.45	Professional		$58.73	$58.73	$80.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $294.00 / $332.00	Facility		$133.26	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $95.95 / $239.87	Professional		$68.81	$95.95	$239.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $44.44	Facility		$44.44	$44.44	$44.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $80.12 / $95.56	Professional		$44.44	$80.12	$95.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $555.00	Facility		$80.45	$80.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $79.41 / $186.56	Professional		$58.73	$79.41	$186.56
United Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $71.31 / $121.89	Professional		$44.32	$71.31	$121.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $80.12 / $83.26	Facility		$80.12	$80.12	$83.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $80.12 / $85.12	Professional		$44.44	$80.12	$85.12