Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $101.72 / $102.73	Facility		$100.72	$101.72	$102.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $105.78	Professional		$101.72	$101.72	$105.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $101.72 / $151.53	Professional		$100.72	$101.72	$151.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $101.04 / $101.04 / $106.09	Facility		$101.04	$101.04	$106.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $101.04 / $101.04	Professional		$101.04	$101.04	$101.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $95.96 / $229.98	Facility		$95.96	$95.96	$229.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $110.35 / $143.94 / $332.00	Facility		$110.35	$143.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $110.35 / $131.47	Professional		$105.56	$110.35	$131.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $105.55	Facility		$101.72	$101.72	$105.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $105.55 / $105.55	Professional		$101.72	$105.55	$105.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $101.72 / $597.00	Facility		$95.96	$101.72	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $116.68	Professional		$101.72	$101.72	$116.68
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $156.87	Professional		$101.72	$101.72	$156.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $105.55 / $105.55	Facility		$105.55	$105.55	$105.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $105.55 / $105.55	Professional		$101.72	$105.55	$105.55