Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $252.08 / $413.24	Facility		$206.59	$252.08	$413.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $278.94	Professional		$206.59	$206.59	$278.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $165.27 / $206.59	Facility		$165.27	$165.27	$206.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $206.59 / $314.88	Professional		$194.92	$206.59	$314.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.42 / $181.42 / $190.49	Facility		$181.42	$181.42	$190.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.42 / $181.42 / $181.42	Professional		$181.42	$181.42	$181.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $194.90 / $206.59	Facility		$185.25	$194.90	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $253.37 / $438.53	Facility		$194.90	$253.37	$438.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.38 / $214.38 / $267.01	Professional		$214.38	$214.38	$267.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $206.59 / $210.49	Facility		$206.59	$206.59	$210.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $210.49	Professional		$206.59	$206.59	$210.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $185.25 / $194.90 / $555.00	Facility		$185.25	$194.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $206.59 / $286.06	Professional		$201.64	$206.59	$286.06
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $304.63	Professional		$206.59	$206.59	$304.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.49 / $210.49 / $210.49	Facility		$210.49	$210.49	$210.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.29 / $206.59 / $210.49	Professional		$162.29	$206.59	$210.49