Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $1,230.27	Facility		$120.23	$177.83	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $1,659.59	Professional		$120.23	$123.03	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $125.89	Facility		$120.23	$120.23	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Facility		$223.87	$223.87	$234.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $331.13	Facility		$109.65	$109.65	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $501.19	Professional		$120.23	$120.23	$501.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $147.91 / $380.19	Facility		$120.23	$147.91	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $218.78	Professional		$102.33	$120.23	$218.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Facility		$30.20	$30.20	$31.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $50,118.72 / $75,857.76	Facility		$35.48	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $186.21	Professional		$107.15	$125.89	$186.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Facility		$30.20	$30.20	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31