Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $332.75 / $597.24	Facility		$181.31	$332.75	$597.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $181.31 / $343.45	Professional		$82.56	$181.31	$343.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $213.30 / $554.58	Facility		$213.30	$213.30	$554.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $109.15 / $393.43	Professional		$85.32	$109.15	$393.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $213.30 / $213.30	Facility		$127.98	$213.30	$213.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $213.30 / $213.30	Professional		$155.71	$213.30	$213.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $450.61 / $569.11	Facility		$260.74	$450.61	$569.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $261.42 / $692.73	Professional		$127.90	$261.42	$692.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $255.96 / $479.93	Facility		$96.00	$255.96	$479.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $222.54 / $398.87	Professional		$149.31	$222.54	$398.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $202.63 / $386.78	Professional		$153.22	$202.63	$386.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $207.98 / $520.17 / $597.00	Facility		$207.98	$520.17	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $275.16 / $639.90	Professional		$130.02	$275.16	$639.90
United Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $127.98 / $330.62	Professional		$89.59	$127.98	$330.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $226.10 / $226.10	Facility		$30.86	$226.10	$226.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $213.30 / $542.77	Professional		$181.31	$213.30	$542.77