Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $214.50 / $386.80	Facility		$175.82	$214.50	$386.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $183.03 / $409.04	Professional		$181.21	$183.03	$409.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.97 / $144.97 / $181.22	Facility		$144.97	$144.97	$181.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $341.34	Professional		$181.22	$181.22	$341.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $181.57 / $181.57 / $190.65	Facility		$181.57	$181.57	$190.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $181.57 / $181.57 / $181.57	Professional		$181.57	$181.57	$181.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $189.91	Facility		$170.96	$170.96	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $196.60 / $384.66	Facility		$95.58	$196.60	$384.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $196.61 / $234.22	Professional		$181.22	$196.61	$234.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $165.72 / $188.06	Facility		$165.72	$165.72	$188.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $181.22 / $188.06	Professional		$165.72	$181.22	$188.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $555.00	Facility		$170.96	$170.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $204.00 / $257.81	Professional		$181.22	$204.00	$257.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $255.87	Professional		$181.22	$181.22	$255.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $188.06 / $188.06	Facility		$188.06	$188.06	$188.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $188.06 / $215.42	Professional		$181.22	$188.06	$215.42