Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $63.18 / $116.94	Facility		$49.42	$63.18	$116.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $73.89 / $91.53	Professional		$49.42	$73.89	$91.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $148.07 / $290.33	Facility		$145.16	$148.07	$290.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.01 / $230.20	Professional		$85.01	$85.01	$230.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $112.48 / $120.95 / $120.95	Facility		$112.48	$120.95	$120.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $120.95 / $120.95	Professional		$120.95	$120.95	$120.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $100.43	Professional		$73.31	$73.31	$100.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.16 / $304.86 / $332.00	Facility		$145.16	$304.86	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $108.88 / $261.31	Professional		$74.95	$108.88	$261.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $56.56	Facility		$56.56	$56.56	$56.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $87.28 / $104.10	Professional		$56.56	$87.28	$104.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $555.00	Facility		$100.43	$100.43	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $86.49 / $216.30	Professional		$73.31	$86.49	$216.30
United Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $77.76 / $133.09	Professional		$48.28	$77.76	$133.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $90.70	Facility		$87.28	$87.28	$90.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $87.28 / $92.74	Professional		$56.56	$87.28	$92.74