Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $82.01 / $151.80	Facility		$64.15	$82.01	$151.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $82.34 / $118.81	Professional		$64.15	$82.34	$118.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.45 / $192.22 / $376.90	Facility		$188.45	$192.22	$376.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $101.01 / $290.45	Professional		$101.01	$101.01	$290.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $157.00 / $157.00	Facility		$146.01	$157.00	$157.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $107.78	Professional		$78.68	$78.68	$107.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $188.45 / $320.37 / $424.01	Facility		$188.45	$320.37	$424.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $139.44 / $339.21	Professional		$97.31	$139.44	$339.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $110.06 / $135.13	Professional		$4.55	$110.06	$135.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $555.00	Facility		$107.78	$107.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $279.83	Professional		$78.68	$107.78	$279.83
United Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $85.28 / $99.63	Facility		$64.81	$85.28	$99.63
United Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $99.45 / $172.49	Professional		$62.68	$99.45	$172.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $110.06 / $110.06	Facility		$100.74	$110.06	$110.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $110.06 / $116.94	Professional		$4.55	$110.06	$116.94