Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.53 / $309.26 / $555.02	Facility		$203.53	$309.26	$555.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $251.29 / $439.90	Professional		$170.68	$251.29	$439.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.91 / $263.63 / $567.29	Professional		$207.91	$263.63	$567.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $58.39 / $294.66	Facility		$58.39	$58.39	$294.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $294.66 / $353.05	Professional		$58.39	$294.66	$353.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $697.70 / $1,811.30	Facility		$533.04	$697.70	$1,811.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $323.32 / $911.97	Professional		$194.72	$323.32	$911.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $266.77 / $517.34	Facility		$166.73	$266.77	$517.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $281.07 / $484.15	Professional		$205.22	$281.07	$484.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $220.07 / $382.30	Professional		$40.40	$220.07	$382.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.04 / $697.70 / $1,705.55	Facility		$271.04	$697.70	$1,705.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $354.24 / $836.78	Professional		$194.72	$354.24	$836.78
United Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $295.72 / $629.72	Professional		$200.27	$295.72	$629.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $255.78 / $255.78 / $499.62	Facility		$255.78	$255.78	$499.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $171.29 / $322.20 / $587.15	Professional		$171.29	$322.20	$587.15