Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.57 / $263.06 / $478.75	Facility		$141.57	$263.06	$478.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $203.83 / $357.81	Professional		$141.57	$203.83	$357.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $216.59 / $481.30	Professional		$170.81	$216.59	$481.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $49.41 / $248.82	Facility		$49.41	$49.41	$248.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $248.82 / $298.24	Professional		$49.41	$248.82	$298.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.28 / $590.15 / $1,547.58	Facility		$456.28	$590.15	$1,547.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $272.89 / $772.48	Professional		$159.80	$272.89	$772.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.54 / $244.17 / $423.90	Facility		$136.54	$244.17	$423.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $244.66 / $395.74	Professional		$179.88	$244.66	$395.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $179.88 / $310.77	Professional		$50.50	$179.88	$310.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $590.15 / $1,473.47	Facility		$254.50	$590.15	$1,473.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.91 / $293.13 / $714.13	Professional		$164.91	$293.13	$714.13
United Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $250.36 / $619.21	Professional		$165.97	$250.36	$619.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.93 / $207.93 / $484.34	Facility		$207.93	$207.93	$484.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $261.93 / $494.96	Professional		$163.57	$261.93	$494.96