Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.40 / $299.52 / $537.60	Facility		$134.40	$299.52	$537.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $149.76 / $278.39	Professional		$45.60	$149.76	$278.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $35.94 / $271.87	Professional		$33.47	$35.94	$271.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $192.00 / $192.00	Facility		$115.20	$192.00	$192.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $192.00 / $192.00	Professional		$140.16	$192.00	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.71 / $405.60 / $498.01	Facility		$234.71	$405.60	$498.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $138.41 / $526.77	Professional		$50.59	$138.41	$526.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $319.00 / $432.00	Facility		$192.00	$319.00	$432.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $200.31 / $351.36	Professional		$134.40	$200.31	$351.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $189.63 / $348.15	Professional		$163.19	$189.63	$348.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.97 / $468.25 / $554.52	Facility		$175.97	$468.25	$554.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $128.18 / $484.20	Professional		$54.42	$128.18	$484.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $83.67 / $290.99	Professional		$50.20	$83.67	$290.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $203.52 / $203.52	Facility		$112.37	$203.52	$203.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $192.00 / $225.98	Professional		$113.59	$192.00	$225.98