Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.45 / $453.20 / $812.34	Facility		$215.45	$453.20	$812.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $91.25 / $285.02	Professional		$75.11	$91.25	$285.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $285.02 / $741.08	Facility		$285.02	$285.02	$741.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $114.01 / $381.67	Professional		$49.20	$114.01	$381.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $285.02 / $285.02	Facility		$171.02	$285.02	$285.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $285.02 / $285.02	Professional		$208.07	$285.02	$285.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $577.30 / $1,087.14	Facility		$199.17	$577.30	$1,087.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $178.48 / $1,373.84	Professional		$69.19	$178.48	$1,373.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $319.00 / $641.32	Facility		$31.61	$319.00	$641.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $168.17 / $521.60	Professional		$114.01	$168.17	$521.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $166.23 / $320.12	Professional		$82.61	$166.23	$320.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.17 / $602.13 / $1,025.90	Facility		$199.17	$602.13	$1,025.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $200.00 / $441.80	Professional		$77.09	$200.00	$441.80
United Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $135.38 / $447.45	Professional		$76.43	$135.38	$447.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.60 / $327.78 / $372.51	Facility		$274.60	$327.78	$372.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $134.24 / $342.58	Professional		$82.61	$134.24	$342.58