Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $288.91 / $518.55	Facility		$150.01	$288.91	$518.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.93 / $144.46 / $268.54	Professional		$100.93	$144.46	$268.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $481.52	Facility		$185.20	$185.20	$481.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $107.20 / $422.26	Professional		$74.08	$107.20	$422.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $185.20 / $185.20	Facility		$111.12	$185.20	$185.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $185.20 / $185.20	Professional		$135.19	$185.20	$185.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $375.22 / $480.80	Facility		$222.24	$375.22	$480.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $240.35 / $598.22	Professional		$111.59	$240.35	$598.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $314.83 / $416.70	Facility		$185.20	$314.83	$416.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $193.22 / $338.92	Professional		$129.63	$193.22	$338.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $94.17 / $94.17	Facility		$94.17	$94.17	$94.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $175.94 / $217.98	Professional		$94.17	$175.94	$217.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.74 / $452.07 / $494.60	Facility		$169.74	$452.07	$494.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $231.50 / $555.60	Professional		$112.38	$231.50	$555.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $290.74	Professional		$77.78	$111.12	$290.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.31 / $196.31 / $239.87	Facility		$196.31	$196.31	$239.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $185.20 / $239.87	Professional		$120.28	$185.20	$239.87