Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $207.45 / $293.05	Facility		$131.74	$207.45	$293.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $145.56 / $195.87	Professional		$109.68	$145.56	$195.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $127.00 / $199.00	Professional		$0.80	$127.00	$199.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.16 / $177.16 / $177.16	Facility		$177.16	$177.16	$177.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.16 / $177.16 / $237.31	Professional		$177.16	$177.16	$237.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $208.40 / $503.47	Professional		$115.64	$208.40	$503.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $104.00 / $422.24	Facility		$104.00	$104.00	$422.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.36 / $235.30 / $328.28	Professional		$167.36	$235.30	$328.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.87 / $143.86 / $150.40	Facility		$120.87	$143.86	$150.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $169.11 / $330.96	Professional		$130.68	$169.11	$330.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $555.00	Facility		$199.80	$199.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $218.04 / $481.62	Professional		$116.30	$218.04	$481.62
United Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $191.04 / $507.53	Professional		$143.36	$191.04	$507.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $143.86 / $150.40	Facility		$137.32	$143.86	$150.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $196.37 / $346.40	Professional		$147.28	$196.37	$346.40