Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $166.37 / $290.49	Facility		$131.16	$166.37	$290.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $165.26	Professional		$131.16	$131.16	$165.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.93 / $104.93 / $131.16	Facility		$104.93	$104.93	$131.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $131.16 / $131.16	Professional		$101.89	$131.16	$131.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $269.14 / $269.14 / $282.60	Facility		$269.14	$269.14	$282.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $269.14 / $269.14	Professional		$269.14	$269.14	$269.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $357.42	Facility		$123.73	$123.73	$357.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $185.60 / $332.00	Facility		$142.29	$185.60	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $145.02 / $166.77	Professional		$144.08	$145.02	$166.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $131.16 / $133.66	Facility		$131.16	$131.16	$133.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $133.66	Professional		$131.16	$131.16	$133.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $123.73 / $555.00	Facility		$123.73	$123.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $131.16 / $131.16	Professional		$111.06	$131.16	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $139.03 / $250.66	Professional		$131.16	$139.03	$250.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $133.66 / $133.66	Facility		$133.66	$133.66	$133.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $133.66	Professional		$131.16	$131.16	$133.66