Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $99.35 / $183.89	Facility		$83.90	$99.35	$183.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $121.85 / $143.91	Professional		$83.90	$121.85	$143.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $232.85 / $456.56	Facility		$228.28	$232.85	$456.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $136.93 / $364.91	Professional		$136.93	$136.93	$364.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $190.19 / $190.19	Facility		$176.88	$190.19	$190.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $190.19 / $190.19	Professional		$190.19	$190.19	$190.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $169.96	Professional		$124.07	$124.07	$169.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $332.00 / $513.63	Facility		$228.28	$332.00	$513.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $171.21 / $410.90	Professional		$117.88	$171.21	$410.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $126.25 / $126.25	Facility		$126.25	$126.25	$126.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $137.26 / $163.69	Professional		$126.25	$137.26	$163.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $555.00	Facility		$169.96	$169.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $136.01 / $356.72	Professional		$124.07	$136.01	$356.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $147.54 / $205.45	Professional		$75.92	$147.54	$205.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $137.26 / $142.63	Facility		$137.26	$137.26	$142.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $137.26 / $145.83	Professional		$126.25	$137.26	$145.83