Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.45 / $239.86 / $733.16	Facility		$228.45	$239.86	$733.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $239.86 / $263.83	Professional		$143.47	$239.86	$263.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $228.45 / $228.45	Professional		$143.47	$228.45	$228.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $140.66 / $140.66	Facility		$140.66	$140.66	$140.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $140.66 / $140.66	Professional		$140.66	$140.66	$140.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.27 / $167.13 / $708.93	Facility		$162.27	$167.13	$708.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $253.98 / $253.98 / $439.39	Facility		$253.98	$253.98	$439.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $253.98 / $253.98	Professional		$253.98	$253.98	$253.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $246.92	Facility		$246.92	$246.92	$246.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $268.08	Professional		$246.92	$246.92	$268.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $167.13 / $167.13 / $708.93	Facility		$167.13	$167.13	$708.93
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $263.38	Professional		$136.47	$136.47	$263.38
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $282.19 / $347.69	Professional		$235.16	$282.19	$347.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $246.92 / $246.92	Facility		$78.45	$246.92	$246.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $93.83 / $268.08	Professional		$78.45	$93.83	$268.08