Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $470.11 / $843.78	Facility		$244.09	$470.11	$843.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $235.05 / $436.96	Professional		$164.24	$235.05	$436.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $783.51	Facility		$301.35	$301.35	$783.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $652.36	Professional		$120.54	$120.54	$652.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $301.35 / $301.35	Facility		$180.81	$301.35	$301.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.99 / $301.35 / $301.35	Professional		$219.99	$301.35	$301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.70 / $610.53 / $782.33	Facility		$299.70	$610.53	$782.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $542.76 / $1,452.51	Professional		$180.88	$542.76	$1,452.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $240.59 / $332.00 / $678.04	Facility		$240.59	$332.00	$678.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $314.39 / $551.47	Professional		$210.95	$314.39	$551.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $94.17 / $94.17	Facility		$94.17	$94.17	$94.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $286.27 / $354.69	Professional		$94.17	$286.27	$354.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $636.61 / $782.33	Facility		$254.50	$636.61	$782.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $391.76 / $904.05	Professional		$195.88	$391.76	$904.05
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $456.72	Professional		$126.57	$180.81	$456.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $319.43 / $319.43 / $402.36	Facility		$319.43	$319.43	$402.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $301.35 / $402.36	Professional		$120.28	$301.35	$402.36