Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.71 / $301.32 / $540.10	Facility		$122.71	$301.32	$540.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $58.24 / $189.51	Professional		$38.82	$58.24	$189.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $492.73	Facility		$189.51	$189.51	$492.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $86.89 / $253.76	Professional		$75.80	$86.89	$253.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $113.71 / $189.51 / $189.51	Facility		$113.71	$189.51	$189.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $189.51 / $189.51	Professional		$138.34	$189.51	$189.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $383.69 / $624.35	Facility		$132.41	$383.69	$624.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $115.11 / $913.44	Professional		$40.21	$115.11	$913.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $246.36 / $426.40	Facility		$29.10	$246.36	$426.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $111.81 / $346.80	Professional		$69.36	$111.81	$346.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $69.40 / $198.68	Professional		$47.23	$69.40	$198.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $401.78 / $624.35	Facility		$132.41	$401.78	$624.35
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $106.74 / $293.74	Professional		$40.21	$106.74	$293.74
United Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $79.59 / $278.33	Professional		$41.72	$79.59	$278.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $141.93 / $217.93 / $217.93	Facility		$141.93	$217.93	$217.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $69.40 / $227.78	Professional		$47.23	$69.40	$227.78