Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $301.47 / $541.10	Facility		$156.53	$301.47	$541.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $139.69 / $274.42	Professional		$107.47	$139.69	$274.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $502.45	Facility		$193.25	$193.25	$502.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $115.95 / $416.07	Professional		$77.30	$115.95	$416.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.95 / $193.25 / $193.25	Facility		$115.95	$193.25	$193.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $193.25 / $193.25	Professional		$141.07	$193.25	$193.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $408.23 / $674.66	Facility		$236.42	$408.23	$674.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.20 / $257.64 / $624.14	Professional		$117.20	$257.64	$624.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $250.00 / $434.81	Facility		$130.00	$250.00	$434.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $201.62 / $353.65	Professional		$135.28	$201.62	$353.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.49 / $119.49 / $119.49	Facility		$119.49	$119.49	$119.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $183.59 / $344.67	Professional		$119.49	$183.59	$344.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $188.42 / $471.66 / $674.66	Facility		$188.42	$471.66	$674.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $253.63 / $579.75	Professional		$119.63	$253.63	$579.75
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $294.68	Professional		$81.17	$115.95	$294.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.85 / $204.85 / $287.38	Facility		$204.85	$204.85	$287.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $193.25 / $287.38	Professional		$152.62	$193.25	$287.38