Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.10 / $712.17 / $1,822.93	Facility		$288.10	$712.17	$1,822.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.63 / $375.00 / $600.00	Professional		$219.63	$375.00	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $237.07 / $529.58	Professional		$190.90	$237.07	$529.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $127.86 / $186.10	Facility		$127.86	$127.86	$186.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $186.10 / $313.97	Professional		$127.86	$186.10	$313.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $435.80 / $484.83	Facility		$228.17	$435.80	$484.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $341.65 / $895.22	Professional		$173.71	$341.65	$895.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $173.10 / $346.00	Facility		$96.56	$173.10	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $278.00 / $419.60	Professional		$202.76	$278.00	$419.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.58 / $70.58 / $70.58	Facility		$70.58	$70.58	$70.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $223.97 / $424.57	Professional		$161.59	$223.97	$424.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $438.24 / $484.83	Facility		$228.17	$438.24	$484.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $192.66 / $314.70 / $686.97	Professional		$192.66	$314.70	$686.97
United Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $233.14 / $553.34	Professional		$186.91	$233.14	$553.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.86 / $236.86 / $403.66	Facility		$236.86	$236.86	$403.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $307.56 / $520.17	Professional		$161.59	$307.56	$520.17