Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.07 / $273.62 / $491.12	Facility		$142.07	$273.62	$491.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $136.81 / $231.53	Professional		$92.96	$136.81	$231.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $456.04	Facility		$175.40	$175.40	$456.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $408.12	Professional		$70.16	$70.16	$408.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $175.40 / $175.40	Facility		$105.24	$175.40	$175.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $175.40 / $175.40	Professional		$128.04	$175.40	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $370.53 / $455.45	Facility		$210.48	$370.53	$455.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $235.20 / $566.67	Professional		$107.29	$235.20	$566.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $239.97 / $394.65	Facility		$148.13	$239.97	$394.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $182.99 / $320.98	Professional		$122.78	$182.99	$320.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $106.29 / $106.29	Facility		$106.29	$106.29	$106.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $166.63 / $206.45	Professional		$106.29	$166.63	$206.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $428.23 / $555.00	Facility		$160.75	$428.23	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $226.27 / $526.20	Professional		$109.22	$226.27	$526.20
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $275.35	Professional		$73.67	$105.24	$275.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $185.92 / $185.92 / $244.37	Facility		$185.92	$185.92	$244.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $175.40 / $244.37	Professional		$137.11	$175.40	$244.37