Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $237.10 / $6,286.07	Facility		$222.25	$237.10	$6,286.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $286.89	Professional		$222.25	$222.25	$286.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.80 / $177.80 / $222.25	Facility		$177.80	$177.80	$222.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $234.09	Professional		$222.25	$222.25	$234.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.92 / $239.92 / $251.92	Facility		$239.92	$239.92	$251.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $239.92 / $239.92 / $239.92	Professional		$239.92	$239.92	$239.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $423.68	Facility		$209.67	$209.67	$423.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $332.00 / $471.76	Facility		$209.67	$332.00	$471.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $209.67 / $377.41 / $582.88	Professional		$209.67	$377.41	$582.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $230.63	Facility		$222.25	$222.25	$230.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $230.63	Professional		$222.25	$222.25	$230.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $555.00	Facility		$209.67	$209.67	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $399.36 / $399.36	Professional		$250.52	$399.36	$399.36
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $266.70 / $427.88	Professional		$222.25	$266.70	$427.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $230.63 / $230.63	Facility		$230.63	$230.63	$230.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $230.63	Professional		$222.25	$222.25	$230.63