Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $436.80 / $784.00	Facility		$238.00	$436.80	$784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $218.40 / $406.00	Professional		$90.00	$218.40	$406.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $280.00 / $728.00	Facility		$280.00	$280.00	$728.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $215.04 / $849.37	Professional		$112.00	$215.04	$849.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $280.00 / $280.00	Facility		$168.00	$280.00	$280.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $462.72	Professional		$280.00	$280.00	$462.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.25 / $591.50 / $747.01	Facility		$342.25	$591.50	$747.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $434.65 / $908.85	Professional		$169.99	$434.65	$908.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $202.30 / $323.68 / $630.00	Facility		$202.30	$323.68	$630.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $292.12 / $512.40	Professional		$196.00	$292.12	$512.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $266.00 / $499.39	Professional		$224.00	$266.00	$499.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $597.00 / $747.01	Facility		$254.50	$597.00	$747.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $350.00 / $840.00	Professional		$30.00	$350.00	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $160.66 / $439.56	Professional		$117.60	$160.66	$439.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $296.80 / $296.80 / $296.80	Facility		$296.80	$296.80	$296.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $280.00 / $329.56	Professional		$238.00	$280.00	$329.56