Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.26 / $187.57 / $424.91	Facility		$152.26	$187.57	$424.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.26 / $180.95 / $187.57	Professional		$152.26	$180.95	$187.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $141.88 / $141.88	Facility		$113.51	$141.88	$141.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $177.29 / $383.10	Professional		$160.68	$177.29	$383.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $238.06	Facility		$216.42	$216.42	$238.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $216.42 / $216.42	Professional		$216.42	$216.42	$216.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $188.30 / $403.50	Facility		$161.40	$188.30	$403.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $157.93	Professional		$149.16	$149.16	$157.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $136.52 / $194.62	Professional		$124.75	$136.52	$194.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $201.75 / $555.00	Facility		$163.38	$201.75	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $136.52 / $152.22 / $194.62	Professional		$136.52	$152.22	$194.62