Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $270.14 / $484.88	Facility		$147.19	$270.14	$484.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $147.19 / $323.83	Professional		$128.57	$147.19	$323.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $450.24	Facility		$173.17	$173.17	$450.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $118.58 / $465.81	Professional		$88.31	$118.58	$465.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $173.17 / $173.17	Facility		$103.90	$173.17	$173.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $173.17 / $173.17	Professional		$126.41	$173.17	$173.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.66 / $422.26 / $1,861.08	Facility		$211.66	$422.26	$1,861.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $280.04 / $558.79	Professional		$133.15	$280.04	$558.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $225.12 / $442.54	Facility		$109.00	$225.12	$442.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $180.67 / $323.83	Professional		$121.22	$180.67	$323.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $164.51 / $304.63	Professional		$101.00	$164.51	$304.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.84 / $422.26 / $2,067.86	Facility		$168.84	$422.26	$2,067.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $313.32 / $567.41	Professional		$138.97	$313.32	$567.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $113.38 / $327.32	Professional		$77.93	$113.38	$327.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $190.49 / $637.91	Facility		$190.49	$190.49	$637.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $182.68 / $460.18	Professional		$129.00	$182.68	$460.18