Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.77 / $526.86 / $945.64	Facility		$200.77	$526.86	$945.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $253.30 / $466.07	Professional		$70.48	$253.30	$466.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $337.73 / $878.10	Facility		$337.73	$337.73	$878.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $135.09 / $495.45	Professional		$66.84	$135.09	$495.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $337.73 / $337.73	Facility		$202.64	$337.73	$337.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.54 / $337.73 / $337.73	Professional		$246.54	$337.73	$337.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.09 / $713.44 / $901.62	Facility		$413.09	$713.44	$901.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.76 / $410.09 / $1,095.76	Professional		$150.76	$410.09	$1,095.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $332.00 / $759.89	Facility		$82.00	$332.00	$759.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $337.73 / $618.04	Professional		$200.95	$337.73	$618.04
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 / $287.07 / $397.51	Professional		$88.05	$287.07	$397.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $713.44 / $901.62	Facility		$254.50	$713.44	$901.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $310.70 / $1,013.19	Professional		$110.00	$310.70	$1,013.19
United Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $156.31 / $597.39	Professional		$77.72	$156.31	$597.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $357.99 / $357.99 / $357.99	Facility		$357.99	$357.99	$357.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $337.73 / $397.51	Professional		$112.46	$337.73	$397.51