Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.24 / $438.87 / $714.72	Facility		$238.24	$438.87	$714.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $213.16 / $334.37	Professional		$182.41	$213.16	$334.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $250.78 / $652.03	Facility		$250.78	$250.78	$652.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $121.34 / $396.23	Professional		$82.70	$121.34	$396.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $250.78 / $250.78	Facility		$150.47	$250.78	$250.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $250.78 / $250.78	Professional		$183.07	$250.78	$250.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.23 / $508.07 / $651.03	Facility		$175.23	$508.07	$651.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.84 / $288.27 / $1,208.76	Professional		$182.84	$288.27	$1,208.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $332.00 / $610.00	Facility		$250.78	$332.00	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $150.47 / $458.93	Professional		$100.31	$150.47	$458.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $238.24 / $302.94	Professional		$132.99	$238.24	$302.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $175.23 / $531.87 / $669.70	Facility		$175.23	$531.87	$669.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $276.14 / $516.61	Professional		$57.80	$276.14	$516.61
United Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $122.88 / $354.91	Professional		$105.33	$122.88	$354.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.39 / $288.39 / $288.39	Facility		$288.39	$288.39	$288.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $262.91 / $302.94	Professional		$132.99	$262.91	$302.94