Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.93 / $292.97 / $506.05	Facility		$150.93	$292.97	$506.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $117.56 / $177.56	Professional		$96.77	$117.56	$177.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $461.66	Facility		$177.56	$177.56	$461.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $107.42 / $285.50	Professional		$71.02	$107.42	$285.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $106.54 / $177.56 / $177.56	Facility		$106.54	$177.56	$177.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $177.56 / $177.56	Professional		$129.62	$177.56	$177.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $359.66 / $474.10	Facility		$213.07	$359.66	$474.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $179.71 / $855.84	Professional		$85.23	$179.71	$855.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $294.00 / $399.51	Facility		$177.56	$294.00	$399.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $105.65 / $332.04	Professional		$71.02	$105.65	$332.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $167.82 / $199.42	Professional		$111.21	$167.82	$199.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.12 / $376.62 / $597.00	Facility		$173.12	$376.62	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $169.65 / $275.22	Professional		$98.05	$169.65	$275.22
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $106.54 / $260.79	Professional		$74.58	$106.54	$260.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $188.21 / $237.67	Facility		$188.21	$188.21	$237.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $168.68 / $208.99	Professional		$111.21	$168.68	$208.99