Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.48 / $480.48 / $862.40	Facility		$249.48	$480.48	$862.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.86 / $202.51 / $357.28	Professional		$167.86	$202.51	$357.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $308.00 / $800.80	Facility		$308.00	$308.00	$800.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $123.20 / $688.53	Professional		$123.20	$123.20	$688.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $308.00 / $308.00	Facility		$184.80	$308.00	$308.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $308.00 / $308.00	Professional		$224.84	$308.00	$308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $650.65 / $799.52	Facility		$369.60	$650.65	$799.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $412.89 / $994.79	Professional		$191.25	$412.89	$994.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.11 / $332.00 / $693.00	Facility		$260.11	$332.00	$693.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $321.33 / $563.64	Professional		$215.60	$321.33	$563.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.65 / $186.65 / $186.65	Facility		$186.65	$186.65	$186.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $292.60 / $362.52	Professional		$186.65	$292.60	$362.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $751.74 / $799.52	Facility		$254.50	$751.74	$799.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $396.55 / $924.00	Professional		$191.73	$396.55	$924.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $466.80	Professional		$129.36	$184.80	$466.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $429.12	Facility		$326.48	$326.48	$429.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.78 / $308.00 / $429.12	Professional		$240.78	$308.00	$429.12