Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $305.45 / $694.20	Facility		$185.12	$305.45	$694.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $185.12 / $1,048.23	Professional		$144.38	$185.12	$1,048.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $185.12 / $481.31	Facility		$185.12	$185.12	$481.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $142.16 / $1,644.39	Professional		$74.05	$142.16	$1,644.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $185.12 / $185.12	Facility		$111.07	$185.12	$185.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $185.12 / $185.12	Professional		$135.13	$185.12	$185.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.43 / $391.07 / $494.60	Facility		$226.43	$391.07	$494.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $297.45 / $725.00	Professional		$112.38	$297.45	$725.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $240.66 / $416.52	Facility		$98.00	$240.66	$416.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $193.14 / $338.77	Professional		$129.58	$193.14	$338.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $175.86 / $330.17	Professional		$148.10	$175.86	$330.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $452.07 / $597.00	Facility		$180.50	$452.07	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $327.96 / $1,700.00	Professional		$120.33	$327.96	$1,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $111.07 / $280.56	Professional		$77.75	$111.07	$280.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $196.23 / $196.23	Facility		$196.23	$196.23	$196.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $185.12 / $217.89	Professional		$157.35	$185.12	$217.89