Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $80.04 / $148.16	Facility		$62.61	$80.04	$148.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $95.21 / $115.96	Professional		$62.61	$95.21	$115.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $187.61 / $367.86	Facility		$183.93	$187.61	$367.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $109.12 / $291.64	Professional		$109.12	$109.12	$291.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $153.24 / $153.24	Facility		$142.51	$153.24	$153.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $153.24 / $153.24	Professional		$153.24	$153.24	$153.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $111.95	Professional		$81.72	$81.72	$111.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $183.93 / $319.00 / $413.84	Facility		$183.93	$319.00	$413.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $137.94 / $331.07	Professional		$94.97	$137.94	$331.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $110.58 / $131.90	Professional		$50.50	$110.58	$131.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $555.00	Facility		$111.95	$111.95	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $109.58 / $274.06	Professional		$81.72	$109.58	$274.06
United Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $96.83 / $168.22	Professional		$61.17	$96.83	$168.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $110.58 / $110.58 / $114.92	Facility		$110.58	$110.58	$114.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $110.58 / $117.48	Professional		$50.50	$110.58	$117.48