Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $107.06 / $198.18	Facility		$90.41	$107.06	$198.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $107.06 / $155.10	Professional		$90.38	$107.06	$155.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $250.94 / $492.04	Facility		$246.02	$250.94	$492.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $144.94 / $390.10	Professional		$144.94	$144.94	$390.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $204.97 / $204.97	Facility		$190.62	$204.97	$204.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.97 / $204.97 / $204.97	Professional		$204.97	$204.97	$204.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $170.89	Professional		$124.75	$124.75	$170.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $332.00 / $553.54	Facility		$246.02	$332.00	$553.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $177.13 / $442.84	Professional		$127.04	$177.13	$442.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $134.33 / $134.33	Facility		$134.33	$134.33	$134.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $147.90 / $176.42	Professional		$134.33	$147.90	$176.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $555.00	Facility		$170.89	$170.89	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $146.57 / $366.57	Professional		$124.75	$146.57	$366.57
United Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $139.72 / $207.58	Professional		$81.81	$139.72	$207.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $153.69	Facility		$147.90	$147.90	$153.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $147.90 / $157.15	Professional		$134.33	$147.90	$157.15