Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $244.90 / $260.20	Facility		$190.62	$244.90	$260.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.22 / $254.08 / $260.20	Professional		$211.22	$254.08	$260.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.38 / $255.10 / $255.10	Professional		$231.38	$255.10	$255.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $299.36 / $299.36 / $299.36	Facility		$299.36	$299.36	$299.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $299.36 / $299.36 / $299.36	Professional		$299.36	$299.36	$299.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.32 / $226.93 / $260.20	Facility		$220.32	$226.93	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $332.00 / $654.35	Facility		$260.20	$332.00	$654.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $260.20 / $260.20	Professional		$221.17	$260.20	$260.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $270.41 / $270.41	Facility		$260.20	$270.41	$270.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $270.41 / $270.41	Professional		$260.20	$270.41	$270.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $226.93 / $226.93 / $597.00	Facility		$226.93	$226.93	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $376.17	Professional		$255.10	$255.10	$376.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $260.20 / $260.20	Facility		$27.20	$260.20	$260.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $260.20 / $270.41	Professional		$27.20	$260.20	$270.41