Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.81 / $270.52 / $467.29	Facility		$132.81	$270.52	$467.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $122.97 / $139.37	Professional		$107.28	$122.97	$139.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $426.30	Facility		$163.96	$163.96	$426.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $275.08	Professional		$80.97	$80.97	$275.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $163.96	Facility		$163.96	$163.96	$163.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $163.96 / $163.96	Professional		$119.69	$163.96	$163.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $332.12 / $425.57	Facility		$196.75	$332.12	$425.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $239.18 / $790.29	Professional		$106.58	$239.18	$790.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $294.00 / $368.91	Facility		$163.96	$294.00	$368.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $216.43 / $355.79	Professional		$172.16	$216.43	$355.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $163.96 / $297.31	Professional		$139.37	$163.96	$297.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $200.57 / $400.14 / $555.00	Facility		$200.57	$400.14	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.57 / $178.72 / $466.17	Professional		$131.57	$178.72	$466.17
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $257.39	Professional		$68.86	$98.38	$257.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $188.55 / $188.55	Facility		$163.96	$188.55	$188.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $163.96 / $222.01	Professional		$139.37	$163.96	$222.01