Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $91.81 / $169.95	Facility		$51.08	$91.81	$169.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $93.07 / $133.01	Professional		$51.08	$93.07	$133.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.96 / $215.18 / $421.92	Facility		$210.96	$215.18	$421.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $369.49	Professional		$170.35	$170.35	$369.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $175.77 / $175.77	Facility		$163.47	$175.77	$175.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $175.77 / $175.77 / $175.77	Professional		$175.77	$175.77	$175.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $171.65	Professional		$145.90	$145.90	$171.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $210.96 / $332.00 / $474.66	Facility		$210.96	$332.00	$474.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $158.22 / $384.37	Professional		$121.93	$158.22	$384.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $101.81 / $101.81	Facility		$101.81	$101.81	$101.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $141.51 / $175.77	Professional		$133.18	$141.51	$175.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $555.00	Facility		$171.65	$171.65	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.40 / $145.90 / $313.13	Professional		$130.40	$145.90	$313.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $126.58 / $192.96	Professional		$70.17	$126.58	$192.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $141.19 / $141.19	Facility		$141.19	$141.19	$141.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $141.19 / $141.51	Professional		$133.18	$141.19	$141.51