Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $422.47 / $708.25	Facility		$248.51	$422.47	$708.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $186.38 / $248.51	Professional		$124.26	$186.38	$248.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $66.20 / $298.20	Professional		$66.20	$66.20	$298.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $248.51 / $248.51	Facility		$248.51	$248.51	$248.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $248.51	Professional		$248.51	$248.51	$248.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.14 / $503.11 / $644.69	Facility		$247.14	$503.11	$644.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $362.44 / $1,197.82	Professional		$198.81	$362.44	$1,197.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $332.00 / $559.15	Facility		$248.51	$332.00	$559.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.94 / $328.03 / $539.27	Professional		$260.94	$328.03	$539.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $245.44 / $450.62	Professional		$211.23	$245.44	$450.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $247.14 / $606.16 / $644.69	Facility		$247.14	$606.16	$644.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $310.64 / $571.57	Professional		$161.53	$310.64	$571.57
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $149.11 / $376.64	Professional		$104.37	$149.11	$376.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $285.77 / $285.77	Facility		$248.51	$285.77	$285.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $248.51 / $298.69	Professional		$211.23	$248.51	$298.69