Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $161.50 / $161.50	Facility		$131.10	$161.50	$161.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $155.80 / $161.50	Professional		$131.10	$155.80	$161.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.92 / $65.92 / $122.28	Professional		$65.92	$65.92	$122.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $162.60 / $178.86	Facility		$162.60	$162.60	$178.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $162.60 / $162.60 / $162.60	Professional		$162.60	$162.60	$162.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.91 / $161.50 / $171.34	Facility		$142.91	$161.50	$171.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $156.06 / $332.00	Facility		$71.52	$156.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $156.06 / $156.06	Professional		$74.63	$156.06	$156.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.06 / $172.36 / $172.36	Facility		$156.06	$172.36	$172.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $156.06 / $172.36	Professional		$156.06	$156.06	$172.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $166.35 / $597.00	Facility		$161.50	$166.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
United Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $167.51 / $249.59	Professional		$167.51	$167.51	$249.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $156.06 / $156.06 / $156.06	Facility		$156.06	$156.06	$156.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $156.06 / $172.36	Professional		$156.06	$156.06	$172.36