Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $103.30 / $191.20	Facility		$80.80	$103.30	$191.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $103.30 / $149.63	Professional		$80.80	$103.30	$149.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $242.10 / $474.70	Facility		$237.35	$242.10	$474.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $117.05 / $357.00	Professional		$117.05	$117.05	$357.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $183.91 / $197.75 / $197.75	Facility		$183.91	$197.75	$197.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $197.75 / $197.75	Professional		$197.75	$197.75	$197.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $124.31	Professional		$90.75	$90.75	$124.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $237.35 / $332.00 / $534.04	Facility		$237.35	$332.00	$534.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $170.89 / $427.23	Professional		$122.56	$170.89	$427.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $134.33 / $134.33	Facility		$134.33	$134.33	$134.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $142.69 / $170.21	Professional		$134.33	$142.69	$170.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $555.00	Facility		$124.31	$124.31	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $124.31 / $367.89	Professional		$90.75	$124.31	$367.89
United Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $118.42 / $217.61	Professional		$78.94	$118.42	$217.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $142.69 / $148.29	Facility		$142.69	$142.69	$148.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $142.69 / $151.62	Professional		$134.33	$142.69	$151.62