Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.65 / $104.97 / $194.31	Facility		$88.65	$104.97	$194.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $118.03 / $152.08	Professional		$88.65	$118.03	$152.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.22 / $246.04 / $482.44	Facility		$241.22	$246.04	$482.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $373.46	Professional		$133.38	$133.38	$373.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $200.97 / $200.97	Facility		$186.90	$200.97	$200.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $200.97 / $200.97	Professional		$200.97	$200.97	$200.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $138.76	Professional		$101.29	$101.29	$138.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $241.22 / $332.00 / $542.75	Facility		$241.22	$332.00	$542.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $180.92 / $434.20	Professional		$124.56	$180.92	$434.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $136.35 / $136.35	Facility		$136.35	$136.35	$136.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $145.03 / $172.98	Professional		$136.35	$145.03	$172.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $555.00	Facility		$138.76	$138.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $342.66	Professional		$101.29	$138.76	$342.66
United Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $296.08 / $296.08	Facility		$296.08	$296.08	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $144.72 / $220.63	Professional		$80.23	$144.72	$220.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.03 / $145.03 / $150.71	Facility		$145.03	$145.03	$150.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $145.03 / $154.09	Professional		$136.35	$145.03	$154.09