Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.08 / $272.20 / $626.57	Facility		$272.08	$272.20	$626.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $282.27 / $355.67	Professional		$234.67	$282.27	$355.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $124.70 / $155.88	Facility		$124.70	$124.70	$155.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $283.42 / $300.16	Professional		$155.88	$283.42	$300.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $170.82 / $170.82 / $179.36	Facility		$170.82	$170.82	$179.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $170.82 / $170.82	Professional		$170.82	$170.82	$170.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $181.60 / $289.08	Facility		$176.32	$181.60	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.59 / $176.47 / $332.00	Facility		$82.59	$176.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $82.59 / $201.47	Professional		$82.59	$82.59	$201.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.60 / $166.16 / $166.16	Facility		$82.60	$166.16	$166.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $85.84 / $166.16	Professional		$82.60	$85.84	$166.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $181.60 / $597.00	Facility		$181.60	$181.60	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $289.08 / $289.08	Professional		$160.94	$289.08	$289.08
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $409.72	Professional		$283.42	$283.42	$409.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $82.60 / $82.60 / $82.60	Facility		$82.60	$82.60	$82.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $85.84 / $136.47	Professional		$82.60	$85.84	$136.47