Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $130.16 / $252.00	Facility		$115.96	$130.16	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $130.16 / $252.00	Professional		$115.96	$130.16	$252.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $266.47 / $532.94	Facility		$266.47	$266.47	$532.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $171.26 / $448.08	Professional		$171.26	$171.26	$448.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $222.01 / $222.01	Facility		$206.47	$222.01	$222.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $222.01 / $222.01	Professional		$222.01	$222.01	$222.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $209.38	Professional		$130.22	$130.22	$209.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $266.47 / $332.00 / $599.55	Facility		$266.47	$332.00	$599.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $245.15 / $485.51	Professional		$157.22	$245.15	$485.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.05 / $202.05 / $202.05	Facility		$202.05	$202.05	$202.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $275.00 / $275.00	Professional		$202.05	$275.00	$275.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $555.00	Facility		$178.39	$178.39	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $164.69 / $386.25	Professional		$130.22	$164.69	$386.25
United Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $158.28 / $243.73	Professional		$88.63	$158.28	$243.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $275.00 / $275.00	Facility		$204.75	$275.00	$275.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $275.00 / $275.00	Professional		$202.05	$275.00	$275.00