Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $514.04 / $922.63	Facility		$266.89	$514.04	$922.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $257.02 / $477.79	Professional		$179.58	$257.02	$477.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $856.73	Facility		$329.51	$329.51	$856.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $197.70 / $708.45	Professional		$131.80	$197.70	$708.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $197.71 / $329.51 / $329.51	Facility		$197.71	$329.51	$329.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $240.54 / $329.51 / $329.51	Professional		$240.54	$329.51	$329.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.92 / $696.09 / $879.27	Facility		$402.92	$696.09	$879.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $430.19 / $1,063.51	Professional		$199.74	$430.19	$1,063.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $216.62 / $332.00 / $741.40	Facility		$216.62	$332.00	$741.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $230.66 / $343.78 / $603.00	Professional		$230.66	$343.78	$603.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $199.69 / $199.69	Facility		$199.69	$199.69	$199.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $313.02 / $587.70	Professional		$199.69	$313.02	$587.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $696.09 / $879.27	Facility		$254.50	$696.09	$879.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $424.25 / $988.53	Professional		$200.01	$424.25	$988.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $499.40	Professional		$138.38	$197.71	$499.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $349.28 / $349.28 / $480.23	Facility		$349.28	$349.28	$480.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $329.51 / $480.23	Professional		$255.05	$329.51	$480.23