Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.24 / $175.39 / $250.32	Facility		$134.24	$175.39	$250.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $147.19 / $203.59	Professional		$124.99	$147.19	$203.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $145.71 / $274.33	Professional		$117.33	$145.71	$274.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $198.33 / $198.33 / $198.33	Facility		$198.33	$198.33	$198.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $198.33	Professional		$198.33	$198.33	$198.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.45 / $157.91 / $722.03	Facility		$122.45	$157.91	$722.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $208.88 / $437.58	Professional		$143.80	$208.88	$437.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $213.84 / $338.67	Facility		$129.00	$213.84	$338.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.49 / $183.63 / $278.93	Professional		$141.49	$183.63	$278.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $92.25 / $128.54	Facility		$92.25	$92.25	$128.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $145.74 / $278.83	Professional		$96.03	$145.74	$278.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $162.28 / $722.03	Facility		$147.53	$162.28	$722.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $199.28 / $407.55	Professional		$147.94	$199.28	$407.55
United Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $154.99 / $315.70	Professional		$116.03	$154.99	$315.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $171.46 / $379.17	Facility		$128.54	$171.46	$379.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $172.78 / $353.20	Professional		$112.98	$172.78	$353.20