Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.00 / $454.52 / $815.81	Facility		$236.00	$454.52	$815.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $227.26 / $423.11	Professional		$145.68	$227.26	$423.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $757.54	Facility		$291.36	$291.36	$757.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $116.54 / $599.53	Professional		$105.25	$116.54	$599.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $174.82 / $291.36 / $291.36	Facility		$174.82	$291.36	$291.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.69 / $291.36 / $291.36	Professional		$212.69	$291.36	$291.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.36 / $615.49 / $777.74	Facility		$356.36	$615.49	$777.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.78 / $425.38 / $945.06	Professional		$176.78	$425.38	$945.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $291.36 / $655.56	Facility		$55.00	$291.36	$655.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $303.98 / $533.19	Professional		$203.95	$303.98	$533.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $276.79 / $528.32	Professional		$156.97	$276.79	$528.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $615.49 / $777.74	Facility		$254.50	$615.49	$777.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $380.63 / $874.08	Professional		$90.00	$380.63	$874.08
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $174.82 / $451.61	Professional		$122.37	$174.82	$451.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $215.88 / $308.83 / $308.83	Facility		$215.88	$308.83	$308.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $291.36 / $342.93	Professional		$192.15	$291.36	$342.93