Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $277.95 / $498.21	Facility		$122.37	$277.95	$498.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $114.94 / $148.59	Professional		$92.65	$114.94	$148.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $454.51	Facility		$174.81	$174.81	$454.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $389.42	Professional		$69.92	$69.92	$389.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $174.81	Facility		$174.81	$174.81	$174.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $174.81 / $174.81	Professional		$127.61	$174.81	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $369.30 / $628.82	Facility		$209.77	$369.30	$628.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $842.58 / $1,875.37	Professional		$139.85	$842.58	$1,875.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $297.18 / $393.32	Facility		$174.81	$297.18	$393.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $230.75 / $379.34	Professional		$183.55	$230.75	$379.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $172.65 / $316.98	Professional		$148.59	$172.65	$316.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $314.41 / $429.03 / $628.82	Facility		$314.41	$429.03	$628.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $190.54 / $423.04	Professional		$113.63	$190.54	$423.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $274.43	Professional		$73.42	$104.89	$274.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $201.03 / $201.03	Facility		$174.81	$201.03	$201.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $174.81 / $210.11	Professional		$148.59	$174.81	$210.11