Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.81 / $363.15 / $627.19	Facility		$232.81	$363.15	$627.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $270.55 / $461.89	Professional		$189.09	$270.55	$461.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.68 / $289.95 / $641.85	Professional		$228.68	$289.95	$641.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $48.06 / $350.90	Facility		$48.06	$48.06	$350.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $350.90 / $398.95	Professional		$48.06	$350.90	$398.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.05 / $831.23 / $2,349.75	Facility		$634.05	$831.23	$2,349.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $372.58 / $1,030.81	Professional		$212.67	$372.58	$1,030.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $182.88 / $292.61 / $567.65	Facility		$182.88	$292.61	$567.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $317.87 / $504.50	Professional		$218.97	$317.87	$504.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $231.62 / $398.74	Professional		$60.60	$231.62	$398.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $831.23 / $2,349.75	Facility		$282.60	$831.23	$2,349.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $397.85 / $958.74	Professional		$213.11	$397.85	$958.74
United Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $306.26 / $696.22	Professional		$209.32	$306.26	$696.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $266.77 / $266.77 / $558.15	Facility		$266.77	$266.77	$558.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $228.92 / $336.05 / $635.04	Professional		$228.92	$336.05	$635.04