Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.86 / $432.11 / $703.72	Facility		$201.86	$432.11	$703.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $134.57 / $209.88	Professional		$134.57	$134.57	$209.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $577.79	Facility		$246.92	$246.92	$577.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $259.27	Professional		$45.77	$45.77	$259.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Facility		$246.92	$246.92	$246.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $246.92 / $246.92	Professional		$180.25	$246.92	$246.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $500.28 / $641.05	Facility		$172.54	$500.28	$641.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $354.66 / $1,190.15	Professional		$283.73	$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 $98.77 / $145.68 / $461.74	Professional		$98.77	$145.68	$461.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $234.57 / $277.32	Professional		$154.65	$234.57	$277.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $240.75 / $523.97 / $641.05	Facility		$240.75	$523.97	$641.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $185.19 / $508.66	Professional		$160.50	$185.19	$508.66
United Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $135.81 / $436.76	Professional		$103.71	$135.81	$436.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $283.95 / $283.95	Facility		$246.92	$283.95	$283.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $246.92 / $296.77	Professional		$154.65	$246.92	$296.77