Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $137.19	Facility		$134.88	$134.88	$137.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $140.28	Professional		$134.88	$134.88	$140.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $191.29	Professional		$134.88	$134.88	$191.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $133.93	Facility		$127.55	$127.55	$133.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Professional		$127.55	$127.55	$127.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $134.88 / $140.35	Facility		$127.25	$134.88	$140.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $190.88 / $332.00	Facility		$146.34	$190.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $146.34 / $276.13	Professional		$133.61	$146.34	$276.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $139.97	Facility		$134.88	$134.88	$139.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $139.97 / $139.97	Professional		$134.88	$139.97	$139.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $136.22 / $597.00	Facility		$127.25	$136.22	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $152.03	Professional		$134.88	$134.88	$152.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $200.99	Professional		$134.88	$134.88	$200.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Facility		$139.97	$139.97	$139.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $139.97 / $139.97	Professional		$134.88	$139.97	$139.97