Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.96 / $371.28 / $666.40	Facility		$175.96	$371.28	$666.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $178.50 / $328.44	Professional		$87.98	$178.50	$328.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $238.00 / $618.79	Facility		$238.00	$238.00	$618.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $126.79 / $409.36	Professional		$95.20	$126.79	$409.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $238.00 / $238.00	Facility		$142.80	$238.00	$238.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $238.00 / $238.00	Professional		$173.74	$238.00	$238.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.04 / $502.78 / $635.24	Facility		$291.04	$502.78	$635.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $289.81 / $772.17	Professional		$142.84	$289.81	$772.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $346.00 / $610.00	Facility		$238.00	$346.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $248.31 / $445.06	Professional		$166.60	$248.31	$445.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.30 / $163.30 / $163.30	Facility		$163.30	$163.30	$163.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.30 / $226.10 / $431.56	Professional		$163.30	$226.10	$431.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $232.05 / $580.62 / $635.24	Facility		$232.05	$580.62	$635.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $241.92 / $714.00	Professional		$110.00	$241.92	$714.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $127.81 / $417.67	Professional		$97.01	$127.81	$417.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $252.28 / $252.28	Facility		$10.28	$252.28	$252.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.30 / $238.00 / $505.15	Professional		$202.30	$238.00	$505.15