Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $273.62 / $499.89	Facility		$111.84	$273.62	$499.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $136.81 / $254.33	Professional		$92.96	$136.81	$254.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $456.04	Facility		$175.40	$175.40	$456.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $101.52 / $399.91	Professional		$70.16	$101.52	$399.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $175.40 / $175.40	Facility		$105.24	$175.40	$175.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $175.40 / $175.40	Professional		$128.04	$175.40	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.58 / $355.43 / $455.45	Facility		$214.58	$355.43	$455.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $227.72 / $566.67	Professional		$105.73	$227.72	$566.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $228.02 / $394.65	Facility		$136.88	$228.02	$394.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $182.99 / $320.98	Professional		$122.78	$182.99	$320.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $106.29 / $106.29	Facility		$106.29	$106.29	$106.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $166.63 / $206.45	Professional		$106.29	$166.63	$206.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $428.23 / $468.51	Facility		$160.75	$428.23	$468.51
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $219.25 / $526.20	Professional		$106.47	$219.25	$526.20
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $265.83	Professional		$73.67	$105.24	$265.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $185.92 / $185.92 / $227.18	Facility		$185.92	$185.92	$227.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $175.40 / $227.18	Professional		$135.76	$175.40	$227.18