Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $81.14 / $150.19	Facility		$63.47	$81.14	$150.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $99.44 / $120.82	Professional		$63.47	$99.44	$120.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.44 / $190.17 / $372.88	Facility		$186.44	$190.17	$372.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $111.76 / $297.83	Professional		$111.76	$111.76	$297.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $144.47 / $155.34 / $155.34	Facility		$144.47	$155.34	$155.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $155.34 / $155.34	Professional		$155.34	$155.34	$155.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $85.05 / $116.51	Professional		$85.05	$85.05	$116.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $186.44 / $319.00 / $419.49	Facility		$186.44	$319.00	$419.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $139.83 / $335.59	Professional		$107.82	$139.83	$335.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.77 / $134.77 / $134.77	Facility		$134.77	$134.77	$134.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $119.09 / $155.34	Professional		$112.09	$119.09	$155.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $555.00	Facility		$116.51	$116.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $115.23 / $282.20	Professional		$85.05	$115.23	$282.20
United Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $92.18 / $105.48	Facility		$70.06	$92.18	$105.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $103.35 / $170.94	Professional		$62.01	$103.35	$170.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $112.09 / $112.09	Facility		$99.66	$112.09	$112.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $112.09 / $134.77	Professional		$112.09	$112.09	$134.77