Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.61 / $69.40 / $128.47	Facility		$58.61	$69.40	$128.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $78.94 / $100.55	Professional		$58.61	$78.94	$100.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $162.66 / $318.95	Facility		$159.47	$162.66	$318.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $96.39 / $256.87	Professional		$96.39	$96.39	$256.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $123.58 / $132.88 / $132.88	Facility		$123.58	$132.88	$132.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Professional		$132.88	$132.88	$132.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $99.66	Professional		$72.75	$72.75	$99.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $319.00 / $358.83	Facility		$159.47	$319.00	$358.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $119.61 / $287.06	Professional		$82.36	$119.61	$287.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $95.89 / $114.37	Professional		$75.75	$95.89	$114.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $555.00	Facility		$99.66	$99.66	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $95.02 / $231.09	Professional		$72.75	$95.02	$231.09
United Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $103.66 / $145.87	Professional		$53.04	$103.66	$145.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $95.89 / $99.64	Facility		$95.89	$95.89	$99.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $95.89 / $101.88	Professional		$75.75	$95.89	$101.88