Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $96.01 / $177.72	Facility		$75.11	$96.01	$177.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $96.01 / $139.10	Professional		$75.11	$96.01	$139.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.63 / $225.04 / $441.26	Facility		$220.63	$225.04	$441.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $107.22 / $327.02	Professional		$107.22	$107.22	$327.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $183.82 / $183.82	Facility		$170.95	$183.82	$183.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.82 / $183.82 / $183.82	Professional		$183.82	$183.82	$183.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $110.16	Professional		$80.42	$80.42	$110.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.63 / $332.00 / $496.42	Facility		$220.63	$332.00	$496.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $158.85 / $397.13	Professional		$113.93	$158.85	$397.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $127.26 / $127.26	Facility		$127.26	$127.26	$127.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $132.63 / $158.21	Professional		$127.26	$132.63	$158.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $555.00	Facility		$110.16	$110.16	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $262.50	Professional		$80.42	$110.16	$262.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $110.07 / $201.80	Professional		$73.38	$110.07	$201.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $137.84	Facility		$132.63	$132.63	$137.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $132.63 / $140.93	Professional		$127.26	$132.63	$140.93