Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.49 / $81.16 / $150.22	Facility		$63.49	$81.16	$150.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $84.75 / $117.58	Professional		$63.49	$84.75	$117.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.50 / $190.23 / $373.00	Facility		$186.50	$190.23	$373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $287.45	Professional		$99.32	$99.32	$287.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $155.38 / $155.38	Facility		$144.50	$155.38	$155.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $155.38 / $155.38	Professional		$155.38	$155.38	$155.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.50 / $319.00 / $419.63	Facility		$186.50	$319.00	$419.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $134.28 / $335.70	Professional		$96.96	$134.28	$335.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.20 / $121.20 / $121.20	Facility		$121.20	$121.20	$121.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $119.13 / $145.44	Professional		$112.12	$119.13	$145.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $555.00	Facility		$120.06	$120.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $111.11 / $269.06	Professional		$87.64	$111.11	$269.06
United Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $96.51 / $167.92	Professional		$62.03	$96.51	$167.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.12 / $112.12 / $116.51	Facility		$112.12	$112.12	$116.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $112.12 / $121.20	Professional		$112.12	$112.12	$121.20