Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $82.65 / $500.96	Facility		$64.66	$82.65	$500.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $82.98 / $119.74	Professional		$64.66	$82.98	$119.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.93 / $193.73 / $379.86	Facility		$189.93	$193.73	$379.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $113.80 / $303.27	Professional		$113.80	$113.80	$303.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $158.24 / $158.24	Facility		$147.16	$158.24	$158.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $158.24 / $158.24	Professional		$158.24	$158.24	$158.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $134.37	Professional		$94.64	$94.64	$134.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $189.93 / $322.88 / $427.34	Facility		$189.93	$322.88	$427.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $140.55 / $341.87	Professional		$98.07	$140.55	$341.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.19 / $115.19 / $115.19	Facility		$115.19	$115.19	$115.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.91 / $115.19 / $138.22	Professional		$110.91	$115.19	$138.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $555.00	Facility		$129.63	$129.63	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $116.42 / $294.39	Professional		$94.64	$116.42	$294.39
United Facility/Professional Professional Modifier Low / Median / High Price $63.17 / $100.90 / $171.00	Professional		$63.17	$100.90	$171.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $110.91 / $134.30	Facility		$110.91	$110.91	$134.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $110.91 / $110.91 / $117.85	Professional		$110.91	$110.91	$117.85