Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.52 / $585.39 / $1,050.70	Facility		$144.52	$585.39	$1,050.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $187.62 / $562.88	Professional		$50.74	$187.62	$562.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $375.25 / $975.65	Facility		$375.25	$375.25	$975.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $163.21 / $591.71	Professional		$150.10	$163.21	$591.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $375.25 / $375.25	Facility		$225.15	$375.25	$375.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.25 / $375.25	Professional		$375.00	$375.25	$375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.75 / $792.71 / $1,001.29	Facility		$458.75	$792.71	$1,001.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $455.65 / $1,217.25	Professional		$108.58	$455.65	$1,217.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $332.00 / $844.31	Facility		$59.00	$332.00	$844.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $375.25 / $686.71	Professional		$223.28	$375.25	$686.71
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 / $318.95 / $441.67	Professional		$94.17	$318.95	$441.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $792.71 / $1,001.29	Facility		$254.50	$792.71	$1,001.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $251.20 / $1,125.75	Professional		$123.65	$251.20	$1,125.75
United Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $168.86 / $568.72	Professional		$59.35	$168.86	$568.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $397.77 / $397.77	Facility		$141.16	$397.77	$397.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $356.49 / $441.67	Professional		$109.02	$356.49	$441.67