Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $397.88 / $714.14	Facility		$206.59	$397.88	$714.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $200.00 / $377.38	Professional		$141.84	$200.00	$377.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $255.05 / $663.13	Facility		$255.05	$255.05	$663.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $195.87 / $508.00	Professional		$102.02	$195.87	$508.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $153.03 / $255.05 / $255.05	Facility		$153.03	$255.05	$255.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $186.19 / $255.05 / $255.05	Professional		$186.19	$255.05	$255.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.95 / $538.79 / $680.88	Facility		$311.95	$538.79	$680.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.88 / $827.08	Professional		$154.88	$371.88	$827.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $215.39 / $323.08 / $573.86	Facility		$215.39	$323.08	$573.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $266.08 / $466.74	Professional		$178.54	$266.08	$466.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $251.90 / $462.48	Professional		$216.79	$251.90	$462.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $248.67 / $622.34 / $680.88	Facility		$248.67	$622.34	$680.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $307.45 / $765.15	Professional		$55.00	$307.45	$765.15
United Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $144.97 / $386.55	Professional		$107.12	$144.97	$386.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $270.35 / $270.35 / $270.35	Facility		$270.35	$270.35	$270.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $216.79 / $255.05 / $300.19	Professional		$216.79	$255.05	$300.19