Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $219.59 / $1,150.90	Facility		$144.49	$219.59	$1,150.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.11 / $144.49 / $202.69	Professional		$102.11	$144.49	$202.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $138.03 / $331.72	Professional		$114.58	$138.03	$331.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $180.30 / $180.30	Facility		$180.30	$180.30	$180.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $180.30	Professional		$180.30	$180.30	$180.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.60 / $292.29 / $1,285.08	Facility		$242.60	$292.29	$1,285.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $188.72 / $470.42	Professional		$124.50	$188.72	$470.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $214.40 / $541.77	Facility		$134.00	$214.40	$541.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $171.47 / $293.82	Professional		$111.14	$171.47	$293.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $128.34 / $230.93	Professional		$49.09	$128.34	$230.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.71 / $292.29 / $1,210.06	Facility		$244.71	$292.29	$1,210.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $174.81 / $447.60	Professional		$102.00	$174.81	$447.60
United Facility/Professional Professional Modifier Low / Median / High Price $100.94 / $150.30 / $349.04	Professional		$100.94	$150.30	$349.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.82 / $132.82 / $271.47	Facility		$132.82	$132.82	$271.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $163.22 / $316.16	Professional		$112.59	$163.22	$316.16