Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $82.69 / $153.07	Facility		$69.83	$82.69	$153.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $83.81 / $119.80	Professional		$69.83	$83.81	$119.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $193.82 / $380.04	Facility		$190.02	$193.82	$380.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $153.41 / $328.47	Professional		$153.41	$153.41	$328.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $147.24 / $158.32 / $158.32	Facility		$147.24	$158.32	$158.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $158.32 / $158.32 / $158.32	Professional		$158.32	$158.32	$158.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.02 / $323.02 / $427.55	Facility		$190.02	$323.02	$427.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $142.52 / $346.22	Professional		$112.11	$142.52	$346.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $144.22 / $144.22	Facility		$144.22	$144.22	$144.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $116.76 / $158.32	Professional		$109.89	$116.76	$158.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $555.00	Facility		$67.73	$67.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $282.19	Professional		$57.58	$67.73	$282.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $114.67 / $173.95	Professional		$63.20	$114.67	$173.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $109.89 / $109.89	Facility		$101.57	$109.89	$109.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $109.89 / $116.76	Professional		$109.89	$109.89	$116.76