Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $329.62 / $668.65	Facility		$207.31	$329.62	$668.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $234.75 / $431.39	Professional		$176.21	$234.75	$431.39
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 $77.95 / $102.38 / $539.24	Professional		$77.95	$102.38	$539.24
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 $253.49 / $437.94 / $553.27	Facility		$253.49	$437.94	$553.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $374.62 / $830.58	Professional		$139.76	$374.62	$830.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $238.41 / $310.97 / $570.10	Facility		$238.41	$310.97	$570.10
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 $196.94 / $207.31 / $375.91	Professional		$196.94	$207.31	$375.91
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 $115.00 / $321.33 / $743.67	Professional		$115.00	$321.33	$743.67
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $431.39	Professional		$87.07	$124.39	$431.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.50 / $219.75 / $219.75	Facility		$137.50	$219.75	$219.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $219.75 / $475.47	Professional		$176.21	$219.75	$475.47