Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $60.73 / $112.42	Facility		$47.51	$60.73	$112.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $66.42 / $87.98	Professional		$47.51	$66.42	$87.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.56 / $142.35 / $279.12	Facility		$139.56	$142.35	$279.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $81.72 / $221.30	Professional		$81.72	$81.72	$221.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $116.27 / $116.27	Facility		$108.13	$116.27	$116.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $116.27 / $116.27	Professional		$116.27	$116.27	$116.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $90.28	Professional		$65.90	$65.90	$90.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $139.56 / $294.00 / $332.00	Facility		$139.56	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $104.67 / $251.21	Professional		$72.06	$104.67	$251.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $83.90 / $100.08	Professional		$35.35	$83.90	$100.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $555.00	Facility		$90.28	$90.28	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $83.14 / $202.03	Professional		$65.90	$83.14	$202.03
United Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $74.98 / $127.64	Professional		$46.42	$74.98	$127.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $83.90 / $87.16	Facility		$83.90	$83.90	$87.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $83.90 / $89.15	Professional		$35.35	$83.90	$89.15