Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $84.59 / $156.58	Facility		$71.43	$84.59	$156.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $85.76 / $122.54	Professional		$71.43	$85.76	$122.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $198.27 / $388.76	Facility		$194.38	$198.27	$388.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $323.64	Professional		$121.56	$121.56	$323.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.60 / $161.94 / $161.94	Facility		$150.60	$161.94	$161.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $161.94 / $161.94	Professional		$161.94	$161.94	$161.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $120.62	Professional		$88.05	$88.05	$120.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $330.45 / $437.36	Facility		$194.38	$330.45	$437.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $143.84 / $349.88	Professional		$100.37	$143.84	$349.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.98 / $124.98 / $124.98	Facility		$124.98	$124.98	$124.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $149.43 / $149.97	Professional		$124.98	$149.43	$149.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $555.00	Facility		$120.62	$120.62	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.14 / $288.75	Professional		$88.05	$120.14	$288.75
United Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $115.46 / $174.94	Professional		$64.65	$115.46	$174.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $149.43 / $149.43	Facility		$129.88	$149.43	$149.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $149.43 / $149.43	Professional		$124.98	$149.43	$149.43