Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.27 / $97.43 / $180.35	Facility		$82.27	$97.43	$180.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $99.13 / $141.15	Professional		$82.27	$99.13	$141.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.88 / $228.36 / $447.76	Facility		$223.88	$228.36	$447.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $137.37 / $366.09	Professional		$137.37	$137.37	$366.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.47 / $186.53 / $186.53	Facility		$173.47	$186.53	$186.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $186.53 / $186.53	Professional		$186.53	$186.53	$186.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.88 / $332.00 / $503.73	Facility		$223.88	$332.00	$503.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $165.84 / $402.98	Professional		$115.61	$165.84	$402.98
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 / $134.60 / $160.55	Professional		$116.15	$134.60	$160.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $555.00	Facility		$159.22	$159.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $133.38 / $333.58	Professional		$116.23	$133.38	$333.58
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $134.33 / $204.78	Professional		$74.45	$134.33	$204.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $134.60 / $139.88	Facility		$134.60	$134.60	$139.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $134.60 / $143.01	Professional		$116.15	$134.60	$143.01