Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $112.57 / $208.37	Facility		$95.06	$112.57	$208.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $150.69 / $167.63	Professional		$95.06	$150.69	$167.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $263.85 / $517.36	Facility		$258.68	$263.85	$517.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.09 / $156.09 / $415.97	Professional		$156.09	$156.09	$415.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $200.42 / $215.51 / $215.51	Facility		$200.42	$215.51	$215.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $215.51 / $215.51	Professional		$215.51	$215.51	$215.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $161.63	Professional		$117.99	$117.99	$161.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $332.00 / $582.03	Facility		$258.68	$332.00	$582.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $196.14 / $465.62	Professional		$152.62	$196.14	$465.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.14 / $196.14 / $196.14	Facility		$196.14	$196.14	$196.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $165.24 / $215.51	Professional		$155.52	$165.24	$215.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $555.00	Facility		$161.63	$161.63	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $154.12 / $399.75	Professional		$117.99	$154.12	$399.75
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $170.54 / $170.54	Facility		$0.21	$170.54	$170.54
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $160.04 / $236.59	Professional		$86.03	$160.04	$236.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $155.52 / $155.52 / $161.61	Facility		$155.52	$155.52	$161.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $155.52 / $155.52 / $196.14	Professional		$155.52	$155.52	$196.14