Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.95 / $479.15 / $858.85	Facility		$210.95	$479.15	$858.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $198.14 / $256.14	Professional		$159.72	$198.14	$256.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $576.62	Professional		$228.90	$228.90	$576.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Facility		$301.35	$301.35	$301.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.99 / $301.35 / $301.35	Professional		$219.99	$301.35	$301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $636.61 / $782.33	Facility		$361.62	$636.61	$782.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.30 / $1,452.51 / $1,452.51	Professional		$367.30	$1,452.51	$1,452.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $391.76 / $678.04	Facility		$294.00	$391.76	$678.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.42 / $397.78 / $653.92	Professional		$316.42	$397.78	$653.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $546.44	Professional		$256.14	$301.35	$546.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $735.58 / $782.33	Facility		$361.62	$735.58	$782.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $226.01 / $693.11	Professional		$195.88	$226.01	$693.11
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $467.09	Professional		$126.57	$180.81	$467.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $346.55 / $346.55	Facility		$301.35	$346.55	$346.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $362.20	Professional		$256.14	$301.35	$362.20