Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $585.39 / $1,050.70	Facility		$303.95	$585.39	$1,050.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $292.70 / $544.11	Professional		$198.88	$292.70	$544.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $375.25 / $975.65	Facility		$375.25	$375.25	$975.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.10 / $205.64 / $806.79	Professional		$150.10	$205.64	$806.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $375.25 / $375.25	Facility		$225.15	$375.25	$375.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $273.93 / $375.25 / $375.25	Professional		$273.93	$375.25	$375.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.75 / $792.71 / $1,001.29	Facility		$458.75	$792.71	$1,001.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.04 / $487.24 / $1,211.09	Professional		$226.04	$487.24	$1,211.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $292.88 / $375.25 / $844.31	Facility		$292.88	$375.25	$844.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.68 / $391.50 / $686.71	Professional		$262.68	$391.50	$686.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $94.17 / $94.17	Facility		$94.17	$94.17	$94.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $356.49 / $441.67	Professional		$94.17	$356.49	$441.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $792.71 / $1,001.29	Facility		$254.50	$792.71	$1,001.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $469.06 / $1,125.75	Professional		$227.83	$469.06	$1,125.75
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $225.15 / $562.88	Professional		$157.61	$225.15	$562.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $397.77 / $397.77 / $491.32	Facility		$397.77	$397.77	$491.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $375.25 / $491.32	Professional		$120.28	$375.25	$491.32