Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.11 / $516.36 / $926.80	Facility		$268.11	$516.36	$926.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $258.18 / $456.78	Professional		$140.97	$258.18	$456.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $331.00 / $860.60	Facility		$331.00	$331.00	$860.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $132.40 / $611.82	Professional		$66.84	$132.40	$611.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $198.60 / $331.00 / $331.00	Facility		$198.60	$331.00	$331.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.63 / $331.00 / $331.00	Professional		$241.63	$331.00	$331.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.98 / $699.24 / $883.93	Facility		$404.98	$699.24	$883.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $446.57 / $1,073.56	Professional		$198.54	$446.57	$1,073.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $331.00 / $744.75	Facility		$164.00	$331.00	$744.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $331.00 / $605.73	Professional		$196.95	$331.00	$605.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.05 / $88.05 / $88.05	Facility		$88.05	$88.05	$88.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $285.52 / $389.59	Professional		$88.05	$285.52	$389.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $699.24 / $883.93	Facility		$254.50	$699.24	$883.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $372.88 / $993.00	Professional		$110.00	$372.88	$993.00
United Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $297.89 / $331.00	Facility		$297.89	$297.89	$331.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $193.39 / $501.66	Professional		$139.02	$193.39	$501.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $350.86 / $350.86 / $350.86	Facility		$350.86	$350.86	$350.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $331.00 / $389.59	Professional		$112.46	$331.00	$389.59