Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $66.67 / $123.41	Facility		$52.16	$66.67	$123.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $66.94 / $96.59	Professional		$52.16	$66.94	$96.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $156.26 / $306.39	Facility		$153.19	$156.26	$306.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $84.59 / $236.85	Professional		$84.59	$84.59	$236.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $127.64 / $127.64	Facility		$118.71	$127.64	$127.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $127.64 / $127.64	Professional		$127.64	$127.64	$127.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $99.06	Professional		$72.31	$72.31	$99.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $319.00 / $344.70	Facility		$153.19	$319.00	$344.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $113.37 / $275.76	Professional		$79.11	$113.37	$275.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $93.06 / $93.06	Facility		$93.06	$93.06	$93.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $93.06 / $111.67	Professional		$92.12	$93.06	$111.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $555.00	Facility		$99.06	$99.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $94.69 / $227.34	Professional		$72.31	$94.69	$227.34
United Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $81.37 / $140.13	Professional		$50.96	$81.37	$140.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $92.12 / $102.38	Facility		$92.12	$92.12	$102.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $92.12 / $97.87	Professional		$92.12	$92.12	$97.87