Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $140.13 / $660.97	Facility		$138.74	$140.13	$660.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $185.91	Professional		$138.74	$138.74	$185.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $138.74 / $205.63	Professional		$137.37	$138.74	$205.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $134.06 / $140.76	Facility		$134.06	$134.06	$140.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $134.06 / $134.06	Professional		$134.06	$134.06	$134.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $138.74 / $240.24	Facility		$130.88	$138.74	$240.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $150.52	Professional		$138.74	$138.74	$150.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.52 / $196.34 / $332.00	Facility		$150.52	$196.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $150.52 / $179.32	Professional		$143.97	$150.52	$179.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $143.97	Facility		$138.74	$138.74	$143.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $143.97 / $143.97	Professional		$138.74	$143.97	$143.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $142.55 / $597.00	Facility		$130.88	$142.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $173.94	Professional		$138.74	$138.74	$173.94
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $212.88	Professional		$138.74	$138.74	$212.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $143.97 / $143.97 / $143.97	Facility		$143.97	$143.97	$143.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $143.97 / $143.97	Professional		$138.74	$143.97	$143.97