Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $64.95 / $659.26	Facility		$47.29	$64.95	$659.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $56.78 / $81.12	Professional		$47.29	$56.78	$81.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $131.24 / $257.33	Facility		$128.66	$131.24	$257.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $235.00 / $271.88	Professional		$114.12	$235.00	$271.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $107.20 / $107.20	Facility		$99.70	$107.20	$107.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $107.20 / $107.20	Professional		$107.20	$107.20	$107.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $289.51 / $332.00	Facility		$128.66	$289.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $96.50 / $234.44	Professional		$75.92	$96.50	$234.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $82.20 / $107.20	Professional		$77.36	$82.20	$107.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $555.00	Facility		$104.66	$104.66	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $88.96 / $191.25	Professional		$79.53	$88.96	$191.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $77.20 / $115.80	Professional		$42.80	$77.20	$115.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $77.36 / $85.98	Facility		$77.36	$77.36	$85.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $82.20	Professional		$77.36	$77.36	$82.20