Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $111.72 / $206.80	Facility		$94.35	$111.72	$206.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $111.72 / $161.86	Professional		$94.35	$111.72	$161.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.73 / $261.86 / $513.46	Facility		$256.73	$261.86	$513.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $117.63 / $375.02	Professional		$117.63	$117.63	$375.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $198.92 / $213.89 / $213.89	Facility		$198.92	$213.89	$213.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $213.89 / $213.89	Professional		$213.89	$213.89	$213.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $126.98	Professional		$92.70	$92.70	$126.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $256.73 / $332.00 / $577.64	Facility		$256.73	$332.00	$577.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $184.85 / $462.11	Professional		$132.57	$184.85	$462.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $154.35 / $184.10	Professional		$65.65	$154.35	$184.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $555.00	Facility		$126.98	$126.98	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $126.98 / $397.93	Professional		$92.70	$126.98	$397.93
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $137.96 / $221.28	Professional		$85.39	$137.96	$221.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $154.35 / $160.40	Facility		$154.35	$154.35	$160.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $154.35 / $164.00	Professional		$65.65	$154.35	$164.00