Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.59 / $461.43 / $828.21	Facility		$239.59	$461.43	$828.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $235.93 / $428.90	Professional		$161.21	$235.93	$428.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $295.79 / $769.05	Facility		$295.79	$295.79	$769.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $162.10 / $635.95	Professional		$118.32	$162.10	$635.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $295.79 / $295.79	Facility		$177.47	$295.79	$295.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $295.79 / $295.79	Professional		$215.93	$295.79	$295.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.88 / $624.85 / $918.65	Facility		$361.88	$624.85	$918.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $400.44 / $960.25	Professional		$178.29	$400.44	$960.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $384.53 / $665.53	Facility		$295.79	$384.53	$665.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $310.58 / $541.29	Professional		$207.05	$310.58	$541.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.42 / $295.79 / $536.35	Professional		$251.42	$295.79	$536.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $721.95 / $918.65	Facility		$254.50	$721.95	$918.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $369.74 / $887.37	Professional		$179.63	$369.74	$887.37
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $448.29	Professional		$124.23	$177.47	$448.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $313.54 / $313.54 / $387.30	Facility		$313.54	$313.54	$387.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.42 / $297.29 / $421.24	Professional		$251.42	$297.29	$421.24