Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $71.00 / $131.41	Facility		$59.96	$71.00	$131.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $71.00 / $102.85	Professional		$59.96	$71.00	$102.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.13 / $166.40 / $326.27	Facility		$163.13	$166.40	$326.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $87.33 / $251.45	Professional		$87.33	$87.33	$251.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.41 / $135.91 / $135.91	Facility		$126.41	$135.91	$135.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $135.91 / $135.91	Professional		$135.91	$135.91	$135.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $90.07	Professional		$65.75	$65.75	$90.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $163.13 / $319.00 / $367.07	Facility		$163.13	$319.00	$367.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $122.36 / $293.64	Professional		$84.25	$122.36	$293.64
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 / $98.09 / $116.99	Professional		$90.90	$98.09	$116.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $555.00	Facility		$90.07	$90.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $209.06	Professional		$65.75	$90.07	$209.06
United Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $93.17 / $140.62	Professional		$54.26	$93.17	$140.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $98.09 / $98.09 / $101.92	Facility		$98.09	$98.09	$101.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $98.09 / $104.21	Professional		$90.90	$98.09	$104.21