Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $93.11	Facility		$89.41	$89.41	$93.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $92.98	Professional		$89.41	$89.41	$92.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $186.02	Professional		$89.41	$89.41	$186.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $247.50	Facility		$225.00	$225.00	$247.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $89.41 / $202.90	Facility		$84.35	$89.41	$202.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $126.53 / $332.00	Facility		$89.41	$126.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $89.41 / $154.36	Professional		$88.57	$89.41	$154.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $92.78	Facility		$89.41	$89.41	$92.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $92.78 / $92.78	Professional		$89.41	$92.78	$92.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $191.25 / $597.00	Facility		$84.35	$191.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $99.41	Professional		$89.41	$89.41	$99.41
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $134.12	Professional		$89.41	$89.41	$134.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.78 / $92.78 / $92.78	Facility		$92.78	$92.78	$92.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $92.78 / $92.78	Professional		$89.41	$92.78	$92.78