Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.52 / $543.75 / $975.97	Facility		$251.52	$543.75	$975.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.97 / $296.27 / $494.96	Professional		$214.97	$296.27	$494.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $906.26	Facility		$348.56	$348.56	$906.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $142.99 / $742.43	Professional		$142.99	$142.99	$742.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $209.14 / $348.56 / $348.56	Facility		$209.14	$348.56	$348.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $254.45 / $348.56 / $348.56	Professional		$254.45	$348.56	$348.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.32 / $736.32 / $930.51	Facility		$426.32	$736.32	$930.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.51 / $515.29 / $1,160.01	Professional		$212.51	$515.29	$1,160.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $124.00 / $332.00 / $784.26	Facility		$124.00	$332.00	$784.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $363.65 / $637.86	Professional		$243.99	$363.65	$637.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Facility		$348.56	$348.56	$348.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $348.56 / $449.64	Professional		$296.27	$348.56	$449.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $736.32 / $930.51	Facility		$254.50	$736.32	$930.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $491.47 / $1,062.66	Professional		$210.00	$491.47	$1,062.66
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.14 / $547.19	Professional		$146.40	$209.14	$547.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $369.47 / $369.47 / $482.61	Facility		$369.47	$369.47	$482.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $350.92 / $508.43	Professional		$296.27	$350.92	$508.43