Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.62 / $231.43 / $477.33	Facility		$174.62	$231.43	$477.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $199.86 / $326.52	Professional		$145.19	$199.86	$326.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.67 / $246.25 / $507.74	Professional		$202.67	$246.25	$507.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $58.80 / $244.83	Facility		$58.80	$58.80	$244.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $244.83 / $303.63	Professional		$58.80	$244.83	$303.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.57 / $159.57 / $14,648.00	Facility		$159.57	$159.57	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $298.62 / $644.36	Professional		$144.49	$298.62	$644.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $126.51 / $332.00	Facility		$77.38	$126.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $171.34 / $293.39	Professional		$130.97	$171.34	$293.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $182.09 / $324.23	Professional		$115.84	$182.09	$324.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $159.57 / $597.00	Facility		$105.94	$159.57	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $288.61 / $589.33	Professional		$156.66	$288.61	$589.33
United Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $224.22 / $575.44	Professional		$155.10	$224.22	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $164.91 / $164.91 / $327.20	Facility		$164.91	$164.91	$327.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $182.09 / $409.34	Professional		$143.10	$182.09	$409.34