Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.02 / $449.78 / $806.21	Facility		$198.02	$449.78	$806.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $185.99 / $240.45	Professional		$149.93	$185.99	$240.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $228.90 / $560.10	Professional		$228.90	$228.90	$560.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Facility		$282.88	$282.88	$282.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $282.88 / $282.88	Professional		$206.50	$282.88	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $597.58 / $734.34	Facility		$339.46	$597.58	$734.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.97 / $1,363.48 / $1,363.48	Professional		$344.97	$1,363.48	$1,363.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $367.74 / $636.48	Facility		$282.88	$367.74	$636.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $373.40 / $613.85	Professional		$297.02	$373.40	$613.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $282.88 / $512.94	Professional		$240.45	$282.88	$512.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $690.45 / $734.34	Facility		$339.46	$690.45	$734.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $212.16 / $650.62	Professional		$183.87	$212.16	$650.62
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $438.46	Professional		$118.81	$169.73	$438.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $325.30 / $325.30	Facility		$282.88	$325.30	$325.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $282.88 / $340.00	Professional		$240.45	$282.88	$340.00