Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $61.90 / $114.58	Facility		$48.43	$61.90	$114.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $74.77 / $89.68	Professional		$48.43	$74.77	$89.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $145.08 / $284.48	Facility		$142.24	$145.08	$284.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $82.10 / $225.56	Professional		$82.10	$82.10	$225.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $118.51 / $118.51	Facility		$110.21	$118.51	$118.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $118.51 / $118.51	Professional		$118.51	$118.51	$118.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $62.17 / $181.50	Professional		$62.17	$62.17	$181.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.24 / $298.70 / $332.00	Facility		$142.24	$298.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $106.68 / $256.02	Professional		$73.44	$106.68	$256.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $77.77 / $77.77	Facility		$77.77	$77.77	$77.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $82.26 / $102.00	Professional		$77.77	$82.26	$102.00
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $52.11 / $52.11	Professional		$52.11	$52.11	$52.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $555.00	Facility		$85.16	$85.16	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $84.75 / $226.88	Professional		$62.17	$84.75	$226.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $75.02 / $130.10	Professional		$47.31	$75.02	$130.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $82.26 / $88.87	Facility		$82.26	$82.26	$88.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $82.26 / $87.41	Professional		$77.77	$82.26	$87.41