Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $436.98 / $783.27	Facility		$192.38	$436.98	$783.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $162.09 / $233.61	Professional		$130.66	$162.09	$233.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $109.93 / $278.27	Professional		$104.06	$109.93	$278.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Facility		$274.83	$274.83	$274.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $274.83 / $274.83	Professional		$200.63	$274.83	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.70 / $580.58 / $640.16	Facility		$301.70	$580.58	$640.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $1,324.68 / $1,324.68	Professional		$334.90	$1,324.68	$1,324.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $357.28 / $618.37	Facility		$274.83	$357.28	$618.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $362.78 / $596.38	Professional		$288.57	$362.78	$596.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $271.43 / $498.35	Professional		$233.61	$271.43	$498.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $301.70 / $601.91 / $658.52	Facility		$301.70	$601.91	$658.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $206.12 / $618.64	Professional		$178.64	$206.12	$618.64
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $373.62	Professional		$103.54	$147.91	$373.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $316.05 / $316.05	Facility		$274.83	$316.05	$316.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $274.83 / $330.32	Professional		$233.61	$274.83	$330.32