Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $271.49 / $501.36	Facility		$150.85	$271.49	$501.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $182.19 / $337.38	Professional		$150.85	$182.19	$337.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.52 / $217.96 / $474.33	Professional		$175.52	$217.96	$474.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $48.27 / $254.55	Facility		$48.27	$48.27	$254.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.27 / $254.55 / $302.83	Professional		$48.27	$254.55	$302.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $603.59 / $1,601.54	Facility		$459.91	$603.59	$1,601.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $250.49 / $685.54	Professional		$142.30	$250.49	$685.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $118.20 / $211.25 / $367.13	Facility		$118.20	$211.25	$367.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $215.80 / $343.66	Professional		$156.21	$215.80	$343.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $163.71 / $270.37	Professional		$45.45	$163.71	$270.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $603.59 / $1,557.24	Facility		$254.50	$603.59	$1,557.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $297.38 / $685.54	Professional		$152.88	$297.38	$685.54
United Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $245.95 / $553.54	Professional		$167.02	$245.95	$553.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $180.89 / $180.89 / $488.07	Facility		$180.89	$180.89	$488.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $227.87 / $449.87	Professional		$148.74	$227.87	$449.87