Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $260.74 / $391.11	Facility		$260.74	$260.74	$391.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.88 / $260.74 / $277.02	Professional		$224.88	$260.74	$277.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.94 / $223.94 / $279.93	Facility		$223.94	$223.94	$279.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $271.60 / $271.60	Professional		$256.00	$271.60	$271.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $227.70 / $227.70 / $250.47	Facility		$227.70	$227.70	$250.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $227.70 / $227.70	Professional		$227.70	$227.70	$227.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.29 / $239.25 / $277.02	Facility		$232.29	$239.25	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $274.32 / $274.32 / $444.40	Facility		$274.32	$274.32	$444.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $274.32 / $315.47	Professional		$274.32	$274.32	$315.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $287.89 / $287.89	Facility		$277.02	$287.89	$287.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $287.89 / $287.89	Professional		$277.02	$287.89	$287.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.25 / $239.25 / $597.00	Facility		$239.25	$239.25	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $401.88	Professional		$277.02	$277.02	$401.88
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $380.60	Professional		$271.60	$271.60	$380.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $287.89	Professional		$277.02	$277.02	$287.89