Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.80 / $168.79 / $2,241.53	Facility		$105.80	$168.79	$2,241.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $165.31 / $206.99	Professional		$105.80	$165.31	$206.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.55 / $573.19 / $842.80	Professional		$458.55	$573.19	$842.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $297.91 / $297.91 / $297.91	Facility		$297.91	$297.91	$297.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $297.91 / $297.91 / $297.91	Professional		$297.91	$297.91	$297.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.35 / $234.35 / $234.35	Facility		$234.35	$234.35	$234.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $263.45 / $768.17	Professional		$150.52	$263.45	$768.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $179.03 / $250.00 / $469.33	Facility		$179.03	$250.00	$469.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $213.56 / $322.26	Professional		$167.65	$213.56	$322.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $193.08 / $340.31	Professional		$53.46	$193.08	$340.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $234.35 / $234.35 / $597.00	Facility		$234.35	$234.35	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $189.80 / $641.15	Professional		$156.29	$189.80	$641.15
United Facility/Professional Professional Modifier Low / Median / High Price $130.61 / $242.93 / $590.60	Professional		$130.61	$242.93	$590.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $175.16 / $368.49	Facility		$175.16	$175.16	$368.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $208.21 / $380.73	Professional		$122.48	$208.21	$380.73