Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $105.55 / $195.38	Facility		$89.13	$105.55	$195.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $105.55 / $152.91	Professional		$89.13	$105.55	$152.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.54 / $247.39 / $485.08	Facility		$242.54	$247.39	$485.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $126.97 / $373.83	Professional		$126.97	$126.97	$373.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $202.07 / $202.07	Facility		$187.93	$202.07	$202.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $202.07 / $202.07	Professional		$202.07	$202.07	$202.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $242.54 / $332.00 / $545.72	Facility		$242.54	$332.00	$545.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.24 / $174.63 / $436.57	Professional		$125.24	$174.63	$436.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.15 / $116.15 / $116.15	Facility		$116.15	$116.15	$116.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $145.81 / $173.93	Professional		$116.15	$145.81	$173.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $555.00	Facility		$166.47	$166.47	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $144.50 / $361.38	Professional		$121.52	$144.50	$361.38
United Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $140.62 / $218.38	Professional		$80.67	$140.62	$218.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $145.81 / $145.81 / $151.53	Facility		$145.81	$145.81	$151.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $145.81 / $154.93	Professional		$116.15	$145.81	$154.93