Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $407.63 / $749.52	Facility		$215.00	$407.63	$749.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $218.28 / $305.07	Professional		$139.38	$218.28	$305.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $262.99 / $683.77	Facility		$262.99	$262.99	$683.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $105.20 / $587.91	Professional		$105.20	$105.20	$587.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $157.79 / $262.99 / $262.99	Facility		$157.79	$262.99	$262.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $262.99 / $262.99	Professional		$191.98	$262.99	$262.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $555.55 / $682.71	Facility		$315.58	$555.55	$682.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $352.57 / $849.46	Professional		$163.31	$352.57	$849.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $222.10 / $332.00 / $591.73	Facility		$222.10	$332.00	$591.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $274.38 / $481.27	Professional		$184.09	$274.38	$481.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $262.99 / $476.88	Professional		$223.54	$262.99	$476.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $241.03 / $641.91 / $682.71	Facility		$241.03	$641.91	$682.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $338.60 / $788.97	Professional		$163.72	$338.60	$788.97
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $525.98	Professional		$110.46	$157.79	$525.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $278.77 / $366.42	Facility		$278.77	$278.77	$366.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $272.70 / $377.44	Professional		$223.54	$272.70	$377.44