Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $76.20 / $141.06	Facility		$64.34	$76.20	$141.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $76.20 / $110.40	Professional		$64.34	$76.20	$110.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.10 / $178.60 / $350.20	Facility		$175.10	$178.60	$350.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $88.15 / $267.33	Professional		$88.15	$88.15	$267.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $145.88 / $145.88	Facility		$135.68	$145.88	$145.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $145.88 / $145.88	Professional		$145.88	$145.88	$145.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $97.54	Professional		$71.20	$71.20	$97.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.10 / $319.00 / $393.98	Facility		$175.10	$319.00	$393.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $131.30 / $315.18	Professional		$91.36	$131.30	$315.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.30 / $131.30 / $131.30	Facility		$131.30	$131.30	$131.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $111.85 / $145.88	Professional		$105.27	$111.85	$145.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $555.00	Facility		$97.54	$97.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $218.44	Professional		$71.20	$97.54	$218.44
United Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $96.82 / $150.93	Professional		$58.24	$96.82	$150.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.27 / $105.27 / $109.40	Facility		$105.27	$105.27	$109.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $105.27 / $131.30	Professional		$105.27	$105.27	$131.30