Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $306.37 / $503.32	Facility		$243.15	$306.37	$503.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $294.20	Professional		$243.61	$243.61	$294.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.89 / $194.89 / $243.61	Facility		$194.89	$194.89	$243.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $243.61 / $247.75	Professional		$226.83	$243.61	$247.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $211.26 / $211.26 / $221.82	Facility		$211.26	$211.26	$221.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $211.26 / $211.26 / $211.26	Professional		$211.26	$211.26	$211.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.05 / $229.82 / $243.61	Facility		$225.05	$229.82	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $319.00 / $517.10	Facility		$243.61	$319.00	$517.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.47 / $264.29 / $297.47	Professional		$210.47	$264.29	$297.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $243.61 / $252.80	Facility		$243.61	$243.61	$252.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $252.80	Professional		$243.61	$243.61	$252.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.05 / $229.82 / $269.52	Facility		$225.05	$229.82	$269.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $300.27	Professional		$243.61	$243.61	$300.27
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $280.63	Professional		$97.44	$243.61	$280.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $252.80 / $252.80 / $252.80	Facility		$252.80	$252.80	$252.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $252.80 / $252.80	Professional		$33.29	$252.80	$252.80