Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $277.83 / $491.12	Facility		$142.07	$277.83	$491.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $126.79 / $242.05	Professional		$97.54	$126.79	$242.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $456.04	Facility		$175.40	$175.40	$456.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $360.92	Professional		$70.16	$70.16	$360.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $175.40 / $175.40	Facility		$105.24	$175.40	$175.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $175.40 / $175.40	Professional		$128.04	$175.40	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.65 / $370.53 / $468.51	Facility		$214.65	$370.53	$468.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $255.96 / $568.91	Professional		$106.47	$255.96	$568.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $228.02 / $394.65	Facility		$22.00	$228.02	$394.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $182.99 / $320.98	Professional		$122.78	$182.99	$320.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Facility		$175.40	$175.40	$175.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $175.40 / $226.27	Professional		$63.84	$175.40	$226.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $428.23 / $597.00	Facility		$171.02	$428.23	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $233.80 / $526.20	Professional		$60.00	$233.80	$526.20
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $265.83	Professional		$73.67	$105.24	$265.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.51 / $185.92 / $185.92	Facility		$92.51	$185.92	$185.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $92.51 / $175.40 / $466.11	Professional		$92.51	$175.40	$466.11