Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $73.36 / $135.79	Facility		$57.39	$73.36	$135.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $73.66 / $106.27	Professional		$57.39	$73.66	$106.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $171.93 / $337.12	Facility		$168.56	$171.93	$337.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $93.03 / $260.48	Professional		$93.03	$93.03	$260.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $140.44 / $140.44	Facility		$130.61	$140.44	$140.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Professional		$140.44	$140.44	$140.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.24	Professional		$76.09	$76.09	$104.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $319.00 / $379.26	Facility		$168.56	$319.00	$379.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $124.73 / $303.41	Professional		$98.98	$124.73	$303.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $123.73	Facility		$123.73	$123.73	$123.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $107.68 / $140.44	Professional		$101.35	$107.68	$140.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $555.00	Facility		$104.24	$104.24	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $250.31	Professional		$76.09	$104.24	$250.31
United Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $89.80 / $154.29	Professional		$56.06	$89.80	$154.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $101.35 / $101.35 / $129.54	Facility		$101.35	$101.35	$129.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $101.35 / $123.73	Professional		$101.35	$101.35	$123.73