Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $65.67 / $121.55	Facility		$51.37	$65.67	$121.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $84.04 / $95.13	Professional		$51.37	$84.04	$95.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $153.91 / $301.80	Facility		$150.90	$153.91	$301.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $91.38 / $243.52	Professional		$91.38	$91.38	$243.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $116.92 / $125.72 / $125.72	Facility		$116.92	$125.72	$125.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $125.72 / $125.72	Professional		$125.72	$125.72	$125.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $97.79	Professional		$71.39	$71.39	$97.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.90 / $316.89 / $339.53	Facility		$150.90	$316.89	$339.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $113.18 / $271.62	Professional		$77.92	$113.18	$271.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Facility		$32.32	$32.32	$32.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $90.72 / $108.21	Professional		$32.32	$90.72	$108.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $555.00	Facility		$97.79	$97.79	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $89.90 / $224.84	Professional		$71.39	$89.90	$224.84
United Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $74.61 / $85.37	Facility		$56.70	$74.61	$85.37
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $81.08 / $138.02	Professional		$50.19	$81.08	$138.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $90.72 / $94.27	Facility		$90.72	$90.72	$94.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $90.72 / $96.39	Professional		$32.32	$90.72	$96.39