Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.33 / $118.71 / $163.62	Facility		$90.33	$118.71	$163.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $102.61 / $163.62	Professional		$72.26	$102.61	$163.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $61.03 / $228.72	Professional		$48.13	$61.03	$228.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $114.98 / $123.63 / $123.63	Facility		$114.98	$123.63	$123.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $123.63 / $123.63	Professional		$123.63	$123.63	$123.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.37 / $265.27 / $346.00	Facility		$147.37	$265.27	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $199.54 / $319.79	Professional		$154.74	$199.54	$319.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $125.01 / $125.01	Facility		$125.01	$125.01	$125.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $132.82 / $132.82	Professional		$123.63	$132.82	$132.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $597.00	Facility		$172.70	$172.70	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $60.12 / $252.41	Professional		$26.00	$60.12	$252.41
United Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $80.01 / $159.29	Professional		$49.01	$80.01	$159.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $125.01 / $125.01	Facility		$125.01	$125.01	$125.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $125.01 / $132.82	Professional		$125.01	$125.01	$132.82