Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.90 / $475.50 / $853.47	Facility		$246.90	$475.50	$853.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $237.75 / $441.98	Professional		$103.74	$237.75	$441.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $304.81 / $792.51	Facility		$304.81	$304.81	$792.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $121.92 / $441.73	Professional		$110.28	$121.92	$441.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $182.89 / $304.81 / $304.81	Facility		$182.89	$304.81	$304.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $304.81 / $304.81	Professional		$222.51	$304.81	$304.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.97 / $643.91 / $814.08	Facility		$372.97	$643.91	$814.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $473.68 / $989.45	Professional		$185.11	$473.68	$989.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $304.81 / $346.00 / $685.82	Facility		$304.81	$346.00	$685.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $318.01 / $557.79	Professional		$213.37	$318.01	$557.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $301.04 / $552.71	Professional		$259.08	$301.04	$552.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $643.91 / $814.08	Facility		$254.50	$643.91	$814.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $372.92 / $836.69	Professional		$150.00	$372.92	$836.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.02 / $182.89 / $461.96	Professional		$128.02	$182.89	$461.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $323.10 / $323.10 / $323.10	Facility		$323.10	$323.10	$323.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $304.81 / $557.44	Professional		$259.08	$304.81	$557.44