Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $86.96 / $160.97	Facility		$73.43	$86.96	$160.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $91.42 / $125.99	Professional		$73.43	$91.42	$125.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $203.83 / $399.66	Facility		$199.83	$203.83	$399.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $122.08 / $325.33	Professional		$122.08	$122.08	$325.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.84 / $166.49 / $166.49	Facility		$154.84	$166.49	$166.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $166.49 / $166.49 / $166.49	Professional		$166.49	$166.49	$166.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $172.35	Professional		$125.82	$125.82	$172.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.83 / $332.00 / $449.62	Facility		$199.83	$332.00	$449.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $147.87 / $359.69	Professional		$103.19	$147.87	$359.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $120.14 / $143.30	Professional		$90.90	$120.14	$143.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $555.00	Facility		$172.35	$172.35	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $125.82 / $309.00	Professional		$119.05	$125.82	$309.00
United Facility/Professional Facility Modifier Low / Median / High Price $75.27 / $131.74 / $150.19	Facility		$75.27	$131.74	$150.19
United Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $119.90 / $179.91	Professional		$66.45	$119.90	$179.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $120.14 / $124.85	Facility		$120.14	$120.14	$124.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $120.14 / $127.65	Professional		$90.90	$120.14	$127.65