Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $87.77 / $162.47	Facility		$68.67	$87.77	$162.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $111.05 / $127.16	Professional		$68.67	$111.05	$127.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $205.73 / $403.40	Facility		$201.70	$205.73	$403.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $122.85 / $327.39	Professional		$122.85	$122.85	$327.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $156.28 / $168.04 / $168.04	Facility		$156.28	$168.04	$168.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $168.04 / $168.04	Professional		$168.04	$168.04	$168.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $136.19	Professional		$99.43	$99.43	$136.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $332.00 / $453.83	Facility		$201.70	$332.00	$453.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $151.28 / $363.06	Professional		$104.15	$151.28	$363.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.78 / $78.78 / $78.78	Facility		$78.78	$78.78	$78.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $121.26 / $144.63	Professional		$78.78	$121.26	$144.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $555.00	Facility		$136.19	$136.19	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $120.17 / $300.52	Professional		$99.43	$120.17	$300.52
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $109.01 / $184.92	Professional		$67.08	$109.01	$184.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $121.26 / $121.26 / $126.02	Facility		$121.26	$121.26	$126.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $121.26 / $128.85	Professional		$78.78	$121.26	$128.85