Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.36 / $248.29 / $499.51	Facility		$161.36	$248.29	$499.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $184.77 / $415.76	Professional		$161.36	$184.77	$415.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $256.55 / $665.37	Professional		$120.90	$256.55	$665.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $152.10 / $159.07	Facility		$63.70	$152.10	$159.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $159.07 / $311.17	Professional		$152.10	$159.07	$311.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $273.63 / $1,066.01	Facility		$165.91	$273.63	$1,066.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $287.07 / $685.00	Professional		$133.28	$287.07	$685.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $173.00 / $332.00	Facility		$98.00	$173.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $264.61 / $443.51	Professional		$170.39	$264.61	$443.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $280.89 / $485.39	Professional		$187.11	$280.89	$485.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $273.63 / $597.00	Facility		$139.41	$273.63	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $260.58 / $685.00	Professional		$136.62	$260.58	$685.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $163.40 / $426.00	Professional		$120.94	$163.40	$426.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $242.14 / $242.14 / $465.26	Facility		$242.14	$242.14	$465.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $187.11 / $249.76 / $584.97	Professional		$187.11	$249.76	$584.97