Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $94.75 / $175.40	Facility		$80.02	$94.75	$175.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.02 / $107.77 / $141.11	Professional		$80.02	$107.77	$141.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $222.09 / $435.48	Facility		$217.74	$222.09	$435.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $132.08 / $351.99	Professional		$132.08	$132.08	$351.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $181.41 / $181.41	Facility		$168.71	$181.41	$181.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $181.41 / $181.41	Professional		$181.41	$181.41	$181.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $140.85	Professional		$102.82	$102.82	$140.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $332.00 / $489.92	Facility		$217.74	$332.00	$489.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $163.31 / $391.93	Professional		$112.44	$163.31	$391.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $85.85 / $85.85	Facility		$85.85	$85.85	$85.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $130.90 / $156.13	Professional		$85.85	$130.90	$156.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $555.00	Facility		$140.85	$140.85	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $129.72 / $337.50	Professional		$102.82	$129.72	$337.50
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $141.53 / $187.68	Professional		$72.42	$141.53	$187.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $136.04	Facility		$130.90	$130.90	$136.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $130.90 / $139.08	Professional		$85.85	$130.90	$139.08