Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $273.26 / $471.99	Facility		$140.77	$273.26	$471.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $121.85 / $166.79	Professional		$100.30	$121.85	$166.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $165.61 / $430.59	Facility		$165.61	$165.61	$430.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $85.78 / $320.05	Professional		$65.15	$85.78	$320.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $99.37 / $165.61 / $165.61	Facility		$99.37	$165.61	$165.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $165.61 / $165.61	Professional		$120.90	$165.61	$165.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.72 / $335.64 / $1,386.85	Facility		$115.72	$335.64	$1,386.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $167.66 / $866.68	Professional		$99.36	$167.66	$866.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $215.29 / $372.62	Facility		$84.30	$215.29	$372.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $99.37 / $303.07	Professional		$75.68	$99.37	$303.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.23 / $110.23 / $110.23	Facility		$110.23	$110.23	$110.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $141.55 / $198.61	Professional		$110.23	$141.55	$198.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $351.47 / $1,367.08	Facility		$151.79	$351.47	$1,367.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $190.39 / $295.50	Professional		$108.41	$190.39	$295.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $91.09 / $243.24	Professional		$67.72	$91.09	$243.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $190.45 / $497.57	Facility		$190.45	$190.45	$497.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $160.41 / $199.05	Professional		$122.03	$160.41	$199.05