Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $92.55 / $171.33	Facility		$72.40	$92.55	$171.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $123.90 / $137.83	Professional		$72.40	$123.90	$137.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $216.93 / $425.36	Facility		$212.68	$216.93	$425.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $127.73 / $340.40	Professional		$127.73	$127.73	$340.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $177.20 / $177.20	Facility		$164.80	$177.20	$177.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $177.20 / $177.20	Professional		$177.20	$177.20	$177.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $150.11	Professional		$109.58	$109.58	$150.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.68 / $332.00 / $478.53	Facility		$212.68	$332.00	$478.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.48 / $178.65 / $387.50	Professional		$125.48	$178.65	$387.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $130.68 / $177.20	Professional		$123.00	$130.68	$177.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $555.00	Facility		$150.11	$150.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $126.71 / $328.88	Professional		$109.58	$126.71	$328.88
United Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $121.46 / $194.52	Professional		$70.73	$121.46	$194.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $132.88	Facility		$123.00	$123.00	$132.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.68	Professional		$123.00	$123.00	$130.68