Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.04 / $170.38 / $309.02	Facility		$167.04	$170.38	$309.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $240.51 / $296.27	Professional		$167.04	$240.51	$296.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $290.47 / $619.23	Professional		$261.42	$290.47	$619.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $223.45 / $223.45	Facility		$223.45	$223.45	$223.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.45 / $223.45 / $223.45	Professional		$223.45	$223.45	$223.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $147.25 / $232.02	Facility		$128.69	$147.25	$232.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $296.27 / $512.55	Facility		$296.27	$296.27	$512.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.84 / $296.27 / $296.27	Professional		$251.84	$296.27	$296.27
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.65 / $296.27 / $296.27	Professional		$136.65	$296.27	$296.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $147.25 / $597.00	Facility		$128.69	$147.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $388.97	Professional		$259.31	$259.31	$388.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Facility		$296.27	$296.27	$296.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $296.27 / $296.27	Professional		$296.27	$296.27	$296.27