Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $436.98 / $893.20	Facility		$210.91	$436.98	$893.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $214.37 / $400.00	Professional		$175.00	$214.37	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $714.56	Facility		$274.83	$274.83	$714.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $109.93 / $457.59	Professional		$87.12	$109.93	$457.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $274.83 / $274.83	Facility		$164.90	$274.83	$274.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.27 / $580.58 / $827.74	Facility		$336.27	$580.58	$827.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $427.07 / $891.33	Professional		$166.93	$427.07	$891.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $594.00 / $891.00	Facility		$274.83	$594.00	$891.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $288.57 / $502.94	Professional		$192.38	$288.57	$502.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $261.08 / $490.17	Professional		$219.86	$261.08	$490.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $670.86 / $827.74	Facility		$254.50	$670.86	$827.74
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $176.34 / $343.54 / $754.51	Professional		$176.34	$343.54	$754.51
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $416.53	Professional		$115.43	$164.90	$416.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.32 / $291.32 / $291.32	Facility		$291.32	$291.32	$291.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $274.83 / $323.47	Professional		$233.61	$274.83	$323.47