Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.83 / $94.37 / $174.69	Facility		$73.83	$94.37	$174.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $101.90 / $136.72	Professional		$73.83	$101.90	$136.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $221.20 / $433.72	Facility		$216.86	$221.20	$433.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $132.15 / $352.17	Professional		$132.15	$132.15	$352.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $180.68 / $180.68	Facility		$168.03	$180.68	$180.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $180.68 / $180.68 / $180.68	Professional		$180.68	$180.68	$180.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $135.51	Facility		$135.51	$135.51	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $98.92 / $135.51	Professional		$98.92	$98.92	$135.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $216.86 / $332.00 / $487.94	Facility		$216.86	$332.00	$487.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $162.65 / $390.35	Professional		$111.98	$162.65	$390.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $68.68 / $68.68	Facility		$68.68	$68.68	$68.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $130.38 / $155.51	Professional		$68.68	$130.38	$155.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $555.00	Facility		$135.51	$135.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $129.19 / $323.12	Professional		$98.92	$129.19	$323.12
United Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $125.04 / $195.17	Professional		$72.13	$125.04	$195.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $130.38 / $135.49	Facility		$130.38	$130.38	$135.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $130.38 / $138.53	Professional		$68.68	$130.38	$138.53