Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.42 / $424.79 / $836.71	Facility		$206.42	$424.79	$836.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $200.81 / $353.88	Professional		$186.12	$200.81	$353.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $669.37	Facility		$257.45	$257.45	$669.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $190.98 / $697.14	Professional		$127.14	$190.98	$697.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $257.45 / $257.45	Facility		$154.47	$257.45	$257.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $257.45 / $257.45	Professional		$187.94	$257.45	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.94 / $543.86 / $687.40	Facility		$314.94	$543.86	$687.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $424.02 / $1,022.43	Professional		$197.95	$424.02	$1,022.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $331.20 / $610.00	Facility		$207.00	$331.20	$610.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $270.32 / $481.43	Professional		$180.22	$270.32	$481.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $257.45 / $466.83	Professional		$218.83	$257.45	$466.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.01 / $597.00 / $687.40	Facility		$251.01	$597.00	$687.40
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.60 / $399.97 / $830.85	Professional		$206.60	$399.97	$830.85
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $154.47 / $455.39	Professional		$108.13	$154.47	$455.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $296.06 / $657.72	Facility		$296.06	$296.06	$657.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $269.89 / $684.15	Professional		$218.83	$269.89	$684.15