Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $332.82 / $596.55	Facility		$177.92	$332.82	$596.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $119.02 / $209.32	Professional		$97.97	$119.02	$209.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $209.32 / $544.23	Facility		$209.32	$209.32	$544.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $106.75 / $334.18	Professional		$63.59	$106.75	$334.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $125.59 / $209.32 / $209.32	Facility		$125.59	$209.32	$209.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $209.32 / $209.32	Professional		$152.80	$209.32	$209.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.26 / $423.98 / $1,418.52	Facility		$146.26	$423.98	$1,418.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.06 / $211.86 / $1,008.92	Professional		$97.06	$211.86	$1,008.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.30 / $272.12 / $470.97	Facility		$75.30	$272.12	$470.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $125.59 / $383.06	Professional		$95.66	$125.59	$383.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.65 / $166.65 / $166.65	Facility		$166.65	$166.65	$166.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $174.98 / $219.44	Professional		$122.82	$174.98	$219.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $156.04 / $444.19 / $1,335.71	Facility		$156.04	$444.19	$1,335.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $200.01 / $324.45	Professional		$100.89	$200.01	$324.45
United Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $108.02 / $307.43	Professional		$87.91	$108.02	$307.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.71 / $240.71 / $486.10	Facility		$240.71	$240.71	$486.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $177.92 / $251.59	Professional		$119.21	$177.92	$251.59