Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $479.15 / $896.53	Facility		$256.14	$479.15	$896.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $256.14 / $450.00	Professional		$175.00	$256.14	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $301.35 / $783.51	Facility		$301.35	$301.35	$783.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $501.75	Professional		$120.54	$120.54	$501.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $180.81 / $301.35 / $301.35	Facility		$180.81	$301.35	$301.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.71 / $636.61 / $1,052.23	Facility		$368.71	$636.61	$1,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.92 / $468.26 / $977.77	Professional		$182.92	$468.26	$977.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $391.76 / $678.04	Facility		$301.35	$391.76	$678.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $316.42 / $563.52	Professional		$210.95	$316.42	$563.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $286.27 / $537.47	Professional		$241.08	$286.27	$537.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $735.58 / $1,052.23	Facility		$254.50	$735.58	$1,052.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $527.36 / $972.70	Professional		$195.88	$527.36	$972.70
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $456.72	Professional		$126.57	$180.81	$456.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $319.43 / $319.43	Facility		$29.91	$319.43	$319.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $301.35 / $354.69	Professional		$241.08	$301.35	$354.69