Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.18 / $60.31 / $111.65	Facility		$47.18	$60.31	$111.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $60.56 / $87.38	Professional		$47.18	$60.56	$87.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $141.37 / $277.20	Facility		$138.60	$141.37	$277.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $84.28 / $224.60	Professional		$84.28	$84.28	$224.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $115.47 / $115.47	Facility		$107.39	$115.47	$115.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $115.47 / $115.47	Professional		$115.47	$115.47	$115.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $89.65	Professional		$65.44	$65.44	$89.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $294.00 / $332.00	Facility		$138.60	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $102.56 / $249.48	Professional		$71.56	$102.56	$249.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $83.32 / $99.39	Professional		$60.60	$83.32	$99.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $555.00	Facility		$89.65	$89.65	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $82.58 / $200.63	Professional		$65.44	$82.58	$200.63
United Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $74.91 / $127.06	Professional		$46.10	$74.91	$127.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.32 / $83.32 / $86.59	Facility		$83.32	$83.32	$86.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $83.32 / $88.53	Professional		$60.60	$83.32	$88.53