Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $75.47 / $139.69	Facility		$59.03	$75.47	$139.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $84.28 / $109.33	Professional		$59.03	$84.28	$109.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.41 / $176.88 / $346.82	Facility		$173.41	$176.88	$346.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $105.61 / $281.45	Professional		$105.61	$105.61	$281.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.37 / $144.47 / $144.47	Facility		$134.37	$144.47	$144.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $144.47 / $144.47	Professional		$144.47	$144.47	$144.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $144.01	Professional		$105.13	$105.13	$144.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $173.41 / $319.00 / $390.17	Facility		$173.41	$319.00	$390.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $128.32 / $312.14	Professional		$89.54	$128.32	$312.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $85.85 / $85.85	Facility		$85.85	$85.85	$85.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $104.25 / $124.35	Professional		$85.85	$104.25	$124.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $555.00	Facility		$144.01	$144.01	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $105.13 / $258.38	Professional		$103.31	$105.13	$258.38
United Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $96.05 / $158.97	Professional		$57.68	$96.05	$158.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.25 / $104.25 / $108.34	Facility		$104.25	$104.25	$108.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $104.25 / $110.76	Professional		$85.85	$104.25	$110.76