Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $470.11 / $843.78	Facility		$244.09	$470.11	$843.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $226.01 / $436.96	Professional		$164.24	$226.01	$436.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $783.51	Facility		$301.35	$301.35	$783.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $174.43 / $687.08	Professional		$120.54	$174.43	$687.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $301.35 / $301.35	Facility		$180.81	$301.35	$301.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.99 / $301.35 / $301.35	Professional		$219.99	$301.35	$301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $610.53 / $782.33	Facility		$361.62	$610.53	$782.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $390.91 / $973.38	Professional		$181.50	$390.91	$973.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $235.19 / $332.00 / $678.04	Facility		$235.19	$332.00	$678.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $316.42 / $551.47	Professional		$210.95	$316.42	$551.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $286.27 / $537.47	Professional		$241.08	$286.27	$537.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $636.61 / $782.33	Facility		$254.50	$636.61	$782.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $376.69 / $904.05	Professional		$182.92	$376.69	$904.05
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $467.09	Professional		$126.57	$180.81	$467.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $319.43 / $319.43 / $390.30	Facility		$319.43	$319.43	$390.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $301.35 / $413.16	Professional		$256.14	$301.35	$413.16