Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.82 / $412.37 / $756.37	Facility		$196.82	$412.37	$756.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $224.69 / $494.32	Professional		$131.21	$224.69	$494.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $264.33 / $687.28	Facility		$264.33	$264.33	$687.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $153.43 / $542.90	Professional		$105.74	$153.43	$542.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $264.33 / $264.33	Facility		$158.60	$264.33	$264.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $264.33 / $264.33	Professional		$192.97	$264.33	$264.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $645.32 / $1,899.41	Facility		$323.47	$645.32	$1,899.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.61 / $357.82 / $853.36	Professional		$156.61	$357.82	$853.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $294.00 / $594.77	Facility		$103.90	$294.00	$594.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $185.04 / $277.56 / $483.74	Professional		$185.04	$277.56	$483.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.69 / $264.33 / $479.33	Professional		$224.69	$264.33	$479.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $242.27 / $645.32 / $2,110.44	Facility		$242.27	$645.32	$2,110.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $340.34 / $803.20	Professional		$159.16	$340.34	$803.20
United Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $158.60 / $488.02	Professional		$117.38	$158.60	$488.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $290.77 / $290.77 / $651.00	Facility		$290.77	$290.77	$651.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $224.69 / $279.70 / $702.46	Professional		$224.69	$279.70	$702.46