Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $377.36 / $689.42	Facility		$205.62	$377.36	$689.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $205.62 / $370.90	Professional		$179.58	$205.62	$370.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $241.90 / $628.94	Facility		$241.90	$241.90	$628.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.46 / $174.70 / $632.69	Professional		$119.46	$174.70	$632.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $145.13 / $241.90 / $241.90	Facility		$145.13	$241.90	$241.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $241.90 / $241.90	Professional		$176.59	$241.90	$241.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.83 / $511.03 / $645.49	Facility		$295.83	$511.03	$645.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $410.71 / $904.46	Professional		$180.02	$410.71	$904.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $216.62 / $314.47 / $544.28	Facility		$216.62	$314.47	$544.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $252.37 / $452.35	Professional		$169.33	$252.37	$452.35
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $199.69 / $199.69	Facility		$199.69	$199.69	$199.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $241.90 / $431.44	Professional		$199.69	$241.90	$431.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $235.86 / $589.98 / $645.49	Facility		$235.86	$589.98	$645.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $374.95 / $780.18	Professional		$189.69	$374.95	$780.18
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $145.13 / $387.52	Professional		$101.60	$145.13	$387.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $256.41 / $256.41 / $480.23	Facility		$256.41	$256.41	$480.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $255.05 / $480.23	Professional		$205.62	$255.05	$480.23