Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $323.39 / $580.47	Facility		$167.92	$323.39	$580.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $161.69 / $273.64	Professional		$109.87	$161.69	$273.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $539.01	Facility		$207.31	$207.31	$539.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $82.92 / $463.43	Professional		$82.92	$82.92	$463.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $207.31 / $207.31	Facility		$124.39	$207.31	$207.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.34 / $207.31 / $207.31	Professional		$151.34	$207.31	$207.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $437.94 / $537.86	Facility		$248.77	$437.94	$537.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $277.75 / $669.20	Professional		$128.65	$277.75	$669.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $175.07 / $269.50 / $466.45	Facility		$175.07	$269.50	$466.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $216.29 / $379.38	Professional		$145.12	$216.29	$379.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.63 / $125.63 / $125.63	Facility		$125.63	$125.63	$125.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $196.94 / $401.15	Professional		$125.63	$196.94	$401.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $505.71 / $555.00	Facility		$190.00	$505.71	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $266.91 / $621.92	Professional		$128.97	$266.91	$621.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $310.97	Professional		$87.07	$124.39	$310.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $219.75 / $219.75 / $288.83	Facility		$219.75	$219.75	$288.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $207.31 / $401.15	Professional		$162.06	$207.31	$401.15