Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $165.27	Professional		$158.91	$158.91	$165.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $158.91 / $188.28	Professional		$144.43	$158.91	$188.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $140.41 / $147.43	Facility		$140.41	$140.41	$147.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $140.41 / $140.41	Professional		$140.41	$140.41	$140.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.87 / $149.91 / $158.91	Facility		$148.87	$149.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $172.41 / $250.00 / $337.32	Facility		$172.41	$250.00	$337.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $172.41 / $188.90	Professional		$125.93	$172.41	$188.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $164.91	Facility		$158.91	$158.91	$164.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $164.91	Professional		$158.91	$158.91	$164.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $148.87 / $149.91 / $175.46	Facility		$148.87	$149.91	$175.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $158.91 / $189.47	Professional		$148.24	$158.91	$189.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $248.99	Professional		$63.57	$158.91	$248.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.91 / $164.91 / $164.91	Facility		$164.91	$164.91	$164.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $164.91 / $164.91	Professional		$75.12	$164.91	$164.91