Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $350.98 / $629.11	Facility		$179.00	$350.98	$629.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $199.09 / $331.11	Professional		$163.88	$199.09	$331.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $220.74 / $573.91	Facility		$220.74	$220.74	$573.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $134.66 / $512.28	Professional		$109.01	$134.66	$512.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $220.74 / $220.74	Facility		$132.44	$220.74	$220.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $220.74 / $220.74	Professional		$161.13	$220.74	$220.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.13 / $466.31 / $589.59	Facility		$270.13	$466.31	$589.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $357.14 / $884.32	Professional		$148.96	$357.14	$884.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $264.89 / $496.67	Facility		$104.00	$264.89	$496.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $230.30 / $403.95	Professional		$154.52	$230.30	$403.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $220.74 / $400.27	Professional		$187.63	$220.74	$400.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $215.22 / $538.91 / $597.00	Facility		$215.22	$538.91	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $342.15 / $712.64	Professional		$176.59	$342.15	$712.64
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $132.44 / $346.53	Professional		$92.71	$132.44	$346.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $233.98 / $233.98	Facility		$31.41	$233.98	$233.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $220.74 / $331.93	Professional		$187.63	$220.74	$331.93