Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $175.35 / $8,287.51	Facility		$151.16	$175.35	$8,287.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $178.89	Professional		$151.16	$151.16	$178.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $151.16 / $231.42	Professional		$148.82	$151.16	$231.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.31 / $154.31 / $162.03	Facility		$154.31	$154.31	$162.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $154.31 / $154.31	Professional		$154.31	$154.31	$154.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $151.16 / $340.68	Facility		$142.61	$151.16	$340.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $213.92 / $332.00	Facility		$151.16	$213.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $151.16 / $269.52	Professional		$149.74	$151.16	$269.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $156.87	Facility		$151.16	$151.16	$156.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $156.87 / $156.87	Professional		$151.16	$156.87	$156.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $163.29 / $597.00	Facility		$142.61	$163.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $167.83	Professional		$151.16	$151.16	$167.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $235.92	Professional		$151.16	$151.16	$235.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $156.87 / $156.87 / $156.87	Facility		$156.87	$156.87	$156.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $156.87 / $156.87	Professional		$151.16	$156.87	$156.87