Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $329.62 / $625.00	Facility		$176.21	$329.62	$625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $176.21 / $322.43	Professional		$113.20	$176.21	$322.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $539.01	Facility		$207.31	$207.31	$539.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $102.38 / $481.11	Professional		$83.41	$102.38	$481.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $207.31 / $207.31	Facility		$124.39	$207.31	$207.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $151.34 / $207.31 / $207.31	Professional		$151.34	$207.31	$207.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.52 / $437.94 / $553.27	Facility		$253.52	$437.94	$553.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $335.11 / $830.58	Professional		$139.76	$335.11	$830.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $250.00 / $466.45	Facility		$16.00	$250.00	$466.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.12 / $216.29 / $379.38	Professional		$145.12	$216.29	$379.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Facility		$207.31	$207.31	$207.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $207.31 / $267.43	Professional		$45.82	$207.31	$267.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.13 / $505.71 / $597.00	Facility		$202.13	$505.71	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $302.64 / $668.73	Professional		$50.00	$302.64	$668.73
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $325.45	Professional		$87.07	$124.39	$325.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $219.75 / $219.75	Facility		$66.40	$219.75	$219.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $207.31 / $550.91	Professional		$66.40	$207.31	$550.91