Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $453.93 / $847.34	Facility		$73.88	$453.93	$847.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $226.97 / $417.62	Professional		$31.00	$226.97	$417.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $786.81	Facility		$302.62	$302.62	$786.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $121.05 / $408.54	Professional		$25.48	$121.05	$408.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.57 / $302.62 / $302.62	Facility		$181.57	$302.62	$302.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $302.62 / $302.62	Professional		$220.91	$302.62	$302.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.14 / $612.65 / $785.05	Facility		$363.14	$612.65	$785.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $182.41 / $830.75	Professional		$37.56	$182.41	$830.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $302.62 / $680.90	Facility		$26.10	$302.62	$680.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $211.83 / $315.72 / $553.79	Professional		$211.83	$315.72	$553.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $287.49 / $548.74	Professional		$55.41	$287.49	$548.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $202.19 / $612.65 / $807.56	Facility		$202.19	$612.65	$807.56
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $163.96 / $696.03	Professional		$38.40	$163.96	$696.03
United Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $136.18 / $458.64	Professional		$56.96	$136.18	$458.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $348.01 / $348.01	Facility		$113.33	$348.01	$348.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $302.62 / $363.72	Professional		$101.02	$302.62	$363.72