Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.61 / $428.74 / $769.52	Facility		$222.61	$428.74	$769.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $214.37 / $398.50	Professional		$149.78	$214.37	$398.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $714.56	Facility		$274.83	$274.83	$714.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $159.07 / $626.61	Professional		$109.93	$159.07	$626.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $274.83 / $274.83	Facility		$164.90	$274.83	$274.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $274.83 / $274.83	Professional		$200.63	$274.83	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $556.80 / $713.50	Facility		$329.80	$556.80	$713.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $356.78 / $887.76	Professional		$165.65	$356.78	$887.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $214.50 / $329.80 / $618.37	Facility		$214.50	$329.80	$618.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $286.73 / $502.94	Professional		$192.38	$286.73	$502.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.55 / $166.55 / $166.55	Facility		$166.55	$166.55	$166.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $261.08 / $323.47	Professional		$166.55	$261.08	$323.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.88 / $580.58 / $713.50	Facility		$251.88	$580.58	$713.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $343.54 / $824.49	Professional		$166.93	$343.54	$824.49
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $425.99	Professional		$115.43	$164.90	$425.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.32 / $291.32 / $355.95	Facility		$291.32	$291.32	$355.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $274.83 / $355.95	Professional		$212.72	$274.83	$355.95