Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $549.03 / $920.44	Facility		$272.66	$549.03	$920.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $274.52 / $355.26	Professional		$181.77	$274.52	$355.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $839.70	Facility		$322.95	$322.95	$839.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $195.39 / $641.10	Professional		$159.49	$195.39	$641.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $193.78 / $322.95 / $322.95	Facility		$193.78	$322.95	$322.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $235.76 / $322.95 / $322.95	Professional		$235.76	$322.95	$322.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $654.32 / $838.45	Facility		$225.68	$654.32	$838.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $309.89 / $1,556.67	Professional		$240.32	$309.89	$1,556.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.00 / $332.00 / $726.66	Facility		$197.00	$332.00	$726.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $193.78 / $591.02	Professional		$129.18	$193.78	$591.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $310.11 / $541.04	Professional		$269.02	$310.11	$541.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $682.24 / $862.50	Facility		$225.68	$682.24	$862.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $259.17 / $332.03 / $665.30	Professional		$259.17	$332.03	$665.30
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $484.44	Professional		$135.63	$193.78	$484.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.40 / $371.40 / $825.07	Facility		$371.40	$371.40	$825.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $269.02 / $349.35 / $642.49	Professional		$269.02	$349.35	$642.49