Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $294.47 / $527.82	Facility		$129.63	$294.47	$527.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $121.77 / $157.41	Professional		$98.16	$121.77	$157.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.14 / $228.90 / $482.98	Professional		$199.14	$228.90	$482.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Facility		$185.20	$185.20	$185.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $185.20 / $185.20	Professional		$135.19	$185.20	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $391.24 / $480.80	Facility		$222.24	$391.24	$480.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $892.66 / $892.66	Professional		$225.89	$892.66	$892.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $314.83 / $416.70	Facility		$185.20	$314.83	$416.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $244.46 / $401.88	Professional		$194.46	$244.46	$401.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $185.20 / $335.82	Professional		$157.41	$185.20	$335.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $452.07 / $555.00	Facility		$222.24	$452.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $138.90 / $425.96	Professional		$120.38	$138.90	$425.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $280.69	Professional		$77.78	$111.12	$280.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $212.98 / $212.98	Facility		$185.20	$212.98	$212.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $185.20 / $222.59	Professional		$157.41	$185.20	$222.59