Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $317.45 / $569.79	Facility		$173.50	$317.45	$569.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $172.98 / $305.25	Professional		$120.62	$172.98	$305.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.50 / $203.50 / $529.10	Facility		$203.50	$203.50	$529.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $166.06 / $530.90	Professional		$81.40	$166.06	$530.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $122.10 / $203.50 / $203.50	Facility		$122.10	$203.50	$203.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.50 / $203.50	Professional		$148.56	$203.50	$203.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.86 / $429.91 / $543.02	Facility		$248.86	$429.91	$543.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $296.87 / $660.03	Professional		$123.55	$296.87	$660.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $264.55 / $559.63	Facility		$140.00	$264.55	$559.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $213.68 / $380.55	Professional		$142.44	$213.68	$380.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $193.33 / $369.01	Professional		$162.80	$193.33	$369.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $198.42 / $496.34 / $597.00	Facility		$198.42	$496.34	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $286.94 / $610.50	Professional		$132.28	$286.94	$610.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $122.10 / $357.12	Professional		$85.47	$122.10	$357.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $215.71 / $215.71 / $215.71	Facility		$215.71	$215.71	$215.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $203.50 / $462.42	Professional		$172.98	$203.50	$462.42