Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.89 / $237.80 / $462.62	Facility		$118.89	$237.80	$462.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.89 / $201.38 / $351.18	Professional		$118.89	$201.38	$351.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $192.02 / $416.31	Professional		$151.43	$192.02	$416.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $253.12	Facility		$35.07	$35.07	$253.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $253.12 / $288.19	Professional		$35.07	$253.12	$288.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.47 / $600.23 / $1,295.28	Facility		$450.47	$600.23	$1,295.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.60 / $237.79 / $750.91	Professional		$136.60	$237.79	$750.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $224.42 / $389.84	Facility		$125.54	$224.42	$389.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $199.62 / $347.82	Professional		$148.02	$199.62	$347.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $187.93 / $324.54	Professional		$123.38	$187.93	$324.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $600.23 / $1,219.66	Facility		$254.50	$600.23	$1,219.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $268.79 / $640.90	Professional		$140.80	$268.79	$640.90
United Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $205.91 / $468.16	Professional		$145.21	$205.91	$468.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $198.67 / $341.03	Facility		$198.67	$198.67	$341.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $250.26 / $440.29	Professional		$123.38	$250.26	$440.29