Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $480.48 / $862.40	Facility		$215.60	$480.48	$862.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $231.00 / $425.04	Professional		$87.75	$231.00	$425.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $308.00 / $800.80	Facility		$308.00	$308.00	$800.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $123.20 / $465.08	Professional		$66.84	$123.20	$465.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $308.00 / $308.00	Facility		$184.80	$308.00	$308.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $308.00 / $308.00	Professional		$224.84	$308.00	$308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.81 / $650.65 / $822.45	Facility		$376.81	$650.65	$822.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $373.72 / $999.97	Professional		$182.35	$373.72	$999.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $308.00 / $693.00	Facility		$102.00	$308.00	$693.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $321.33 / $563.64	Professional		$215.60	$321.33	$563.64
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 / $261.80 / $362.52	Professional		$88.05	$261.80	$362.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $650.65 / $822.45	Facility		$254.50	$650.65	$822.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $291.98 / $924.00	Professional		$110.00	$291.98	$924.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $161.24 / $477.40	Professional		$107.80	$161.24	$477.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $326.48 / $326.48	Facility		$31.56	$326.48	$326.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $304.19 / $362.52	Professional		$112.46	$304.19	$362.52