Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $321.82 / $566.72	Facility		$172.04	$321.82	$566.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $172.04 / $387.29	Professional		$103.76	$172.04	$387.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $202.40 / $526.24	Facility		$202.40	$202.40	$526.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $121.44 / $416.48	Professional		$80.95	$121.44	$416.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $202.40 / $202.40	Facility		$121.44	$202.40	$202.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $202.40 / $202.40	Professional		$147.75	$202.40	$202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.59 / $427.57 / $540.23	Facility		$247.59	$427.57	$540.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $293.77 / $656.52	Professional		$121.49	$293.77	$656.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $250.00 / $491.26	Facility		$121.00	$250.00	$491.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $211.16 / $378.49	Professional		$141.68	$211.16	$378.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.59 / $192.59 / $192.59	Facility		$192.59	$192.59	$192.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.05 / $202.22 / $367.01	Professional		$172.05	$202.22	$367.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $493.78 / $597.00	Facility		$197.34	$493.78	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $293.77 / $615.02	Professional		$123.43	$293.77	$615.02
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $317.74	Professional		$85.01	$121.44	$317.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $214.54 / $214.54	Facility		$56.16	$214.54	$214.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $210.17 / $491.96	Professional		$172.04	$210.17	$491.96