Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.13 / $441.29 / $792.06	Facility		$229.13	$441.29	$792.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $220.65 / $410.18	Professional		$154.16	$220.65	$410.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $735.49	Facility		$282.88	$282.88	$735.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $163.72 / $644.97	Professional		$113.15	$163.72	$644.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $282.88 / $282.88	Facility		$169.73	$282.88	$282.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $206.50 / $282.88 / $282.88	Professional		$206.50	$282.88	$282.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $573.07 / $734.34	Facility		$339.46	$573.07	$734.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $367.06 / $913.67	Professional		$170.43	$367.06	$913.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $220.78 / $332.00 / $636.48	Facility		$220.78	$332.00	$636.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.02 / $295.13 / $517.66	Professional		$198.02	$295.13	$517.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.43 / $171.43 / $171.43	Facility		$171.43	$171.43	$171.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $268.74 / $332.95	Professional		$171.43	$268.74	$332.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $597.58 / $734.34	Facility		$254.50	$597.58	$734.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $353.60 / $848.64	Professional		$171.75	$353.60	$848.64
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $428.73	Professional		$118.81	$169.73	$428.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $299.85 / $299.85 / $366.38	Facility		$299.85	$299.85	$366.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $282.88 / $366.38	Professional		$218.95	$282.88	$366.38