Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $377.36 / $677.32	Facility		$205.62	$377.36	$677.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $196.36 / $370.90	Professional		$162.76	$196.36	$370.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $241.90 / $628.94	Facility		$241.90	$241.90	$628.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $145.13 / $586.01	Professional		$119.46	$145.13	$586.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $145.13 / $241.90 / $241.90	Facility		$145.13	$241.90	$241.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $241.90 / $241.90	Professional		$176.59	$241.90	$241.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.73 / $511.03 / $645.49	Facility		$295.73	$511.03	$645.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $377.51 / $815.98	Professional		$164.69	$377.51	$815.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $332.00 / $544.28	Facility		$241.90	$332.00	$544.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $254.00 / $452.35	Professional		$169.33	$254.00	$452.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $241.90 / $438.64	Professional		$205.62	$241.90	$438.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $235.86 / $589.98 / $645.49	Facility		$235.86	$589.98	$645.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $343.10 / $780.18	Professional		$180.02	$343.10	$780.18
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $446.28	Professional		$101.60	$145.13	$446.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $256.41 / $391.00	Facility		$256.41	$256.41	$391.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $256.41 / $425.27	Professional		$205.62	$256.41	$425.27