Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $279.79 / $464.88	Facility		$112.55	$279.79	$464.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $198.73 / $350.04	Professional		$112.55	$198.73	$350.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $209.92 / $445.81	Professional		$165.56	$209.92	$445.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $62.26 / $227.34	Facility		$62.26	$62.26	$227.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $227.34 / $289.58	Professional		$62.26	$227.34	$289.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.22 / $539.75 / $1,421.35	Facility		$414.22	$539.75	$1,421.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $281.06 / $745.91	Professional		$153.16	$281.06	$745.91
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 $178.83 / $237.23 / $387.64	Professional		$178.83	$237.23	$387.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $48.48 / $48.48	Facility		$48.48	$48.48	$48.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $176.16 / $304.38	Professional		$48.48	$176.16	$304.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $539.75 / $1,421.35	Facility		$254.50	$539.75	$1,421.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $284.89 / $695.81	Professional		$159.91	$284.89	$695.81
United Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $234.89 / $575.21	Professional		$177.63	$234.89	$575.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $203.65 / $203.65 / $599.02	Facility		$203.65	$203.65	$599.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.96 / $256.52 / $551.04	Professional		$172.96	$256.52	$551.04