Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.11 / $252.93 / $441.51	Facility		$164.11	$252.93	$441.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.31 / $191.88 / $337.62	Professional		$135.31	$191.88	$337.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.40 / $204.66 / $454.11	Professional		$161.40	$204.66	$454.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.32 / $36.32 / $244.53	Facility		$36.32	$36.32	$244.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $244.53 / $280.85	Professional		$36.32	$244.53	$280.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.18 / $580.07 / $1,520.67	Facility		$448.18	$580.07	$1,520.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.08 / $260.57 / $728.64	Professional		$151.08	$260.57	$728.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $134.28 / $240.12 / $416.90	Facility		$134.28	$240.12	$416.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $230.24 / $372.28	Professional		$169.22	$230.24	$372.28
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 / $169.22 / $293.10	Professional		$60.60	$169.22	$293.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $580.07 / $1,447.52	Facility		$254.50	$580.07	$1,447.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $275.93 / $675.45	Professional		$163.35	$275.93	$675.45
United Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $220.91 / $493.78	Professional		$157.11	$220.91	$493.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.10 / $196.10 / $481.65	Facility		$196.10	$196.10	$481.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $247.02 / $481.65	Professional		$133.97	$247.02	$481.65