Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $272.70 / $489.47	Facility		$141.60	$272.70	$489.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $136.35 / $253.48	Professional		$92.65	$136.35	$253.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $454.51	Facility		$174.81	$174.81	$454.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $95.79 / $375.84	Professional		$69.92	$95.79	$375.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $174.81 / $174.81	Facility		$104.89	$174.81	$174.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $174.81 / $174.81	Professional		$127.61	$174.81	$174.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.73 / $369.30 / $466.64	Facility		$213.73	$369.30	$466.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $227.25 / $564.42	Professional		$105.41	$227.25	$564.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.30 / $227.25 / $393.32	Facility		$126.30	$227.25	$393.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $183.55 / $319.89	Professional		$122.37	$183.55	$319.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $174.81 / $316.98	Professional		$148.59	$174.81	$316.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $426.53 / $597.00	Facility		$170.45	$426.53	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $218.51 / $524.42	Professional		$106.03	$218.51	$524.42
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $294.17	Professional		$73.42	$104.89	$294.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $185.30 / $185.30 / $228.87	Facility		$185.30	$185.30	$228.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $175.70 / $248.92	Professional		$148.59	$175.70	$248.92