Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $68.29 / $126.41	Facility		$53.42	$68.29	$126.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $68.29 / $77.78	Professional		$53.42	$68.29	$77.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $98.23 / $192.60	Facility		$96.30	$98.23	$192.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $84.10 / $224.12	Professional		$84.10	$84.10	$224.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $116.98 / $116.98	Facility		$108.79	$116.98	$116.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $116.98 / $116.98 / $116.98	Professional		$116.98	$116.98	$116.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $55.98 / $76.68	Professional		$55.98	$55.98	$76.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $216.68 / $332.00	Facility		$96.30	$216.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $81.03 / $173.34	Professional		$59.71	$81.03	$173.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $105.89 / $105.89	Facility		$105.89	$105.89	$105.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $96.41 / $105.89	Professional		$90.74	$96.41	$105.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $555.00	Facility		$76.68	$76.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $143.49	Professional		$55.98	$76.68	$143.49
United Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $71.01 / $76.23	Facility		$53.97	$71.01	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $78.29 / $131.62	Professional		$52.19	$78.29	$131.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.74 / $90.74 / $104.84	Facility		$90.74	$90.74	$104.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $90.74 / $105.89	Professional		$90.74	$90.74	$105.89