Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.65 / $432.11 / $703.72	Facility		$164.65	$432.11	$703.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $112.07 / $135.19	Professional		$112.07	$112.07	$135.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $246.92 / $577.79	Facility		$55.00	$246.92	$577.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $258.37	Professional		$45.77	$45.77	$258.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $193.71 / $193.71	Facility		$193.71	$193.71	$193.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $193.71 / $193.71	Professional		$141.41	$193.71	$193.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $392.18 / $502.53	Facility		$135.36	$392.18	$502.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $354.66 / $1,190.15	Professional		$120.29	$354.66	$1,190.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $332.00 / $555.57	Facility		$246.92	$332.00	$555.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $135.81 / $461.74	Professional		$89.11	$135.81	$461.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $184.02 / $246.92	Professional		$128.79	$184.02	$246.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $188.87 / $444.25 / $516.94	Facility		$188.87	$444.25	$516.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $154.22 / $399.04	Professional		$133.66	$154.22	$399.04
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $111.11 / $290.57	Professional		$81.36	$111.11	$290.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $222.76 / $222.76	Facility		$193.71	$222.76	$222.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $193.71 / $232.82	Professional		$128.79	$193.71	$232.82