Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $294.69 / $721.53	Facility		$194.32	$294.69	$721.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $294.69 / $306.48	Professional		$196.26	$294.69	$306.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.75 / $235.75 / $294.69	Facility		$235.75	$235.75	$294.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $294.69 / $307.99	Professional		$59.38	$294.69	$307.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $106.27 / $106.27 / $111.58	Facility		$106.27	$106.27	$111.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $106.27 / $106.27	Professional		$106.27	$106.27	$106.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $278.01 / $278.01	Facility		$89.51	$278.01	$278.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $332.00 / $625.52	Facility		$278.01	$332.00	$625.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $319.70 / $567.00	Professional		$319.70	$319.70	$567.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $294.69 / $305.81	Facility		$294.69	$294.69	$305.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $305.81	Professional		$294.69	$294.69	$305.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $278.01 / $555.00	Facility		$89.51	$278.01	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $294.69 / $693.51	Professional		$14.00	$294.69	$693.51
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $447.37	Professional		$294.69	$294.69	$447.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $305.81 / $305.81	Facility		$305.81	$305.81	$305.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $294.69 / $305.81	Professional		$5.99	$294.69	$305.81