Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $277.06 / $640.41	Facility		$227.10	$277.06	$640.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $263.44	Professional		$227.28	$227.28	$263.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.82 / $181.82 / $227.28	Facility		$181.82	$181.82	$227.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.03 / $227.28 / $299.07	Professional		$206.03	$227.28	$299.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $191.31 / $200.88	Facility		$191.31	$191.31	$200.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $191.31 / $191.31 / $191.31	Professional		$191.31	$191.31	$191.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.27 / $214.41 / $244.09	Facility		$195.27	$214.41	$244.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $274.20	Professional		$227.28	$227.28	$274.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $222.59 / $278.73 / $482.42	Facility		$222.59	$278.73	$482.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $222.59 / $284.31	Professional		$222.59	$222.59	$284.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $231.57	Facility		$227.28	$227.28	$231.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $231.57 / $231.57	Professional		$227.28	$231.57	$231.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $195.27 / $214.41 / $282.44	Facility		$195.27	$214.41	$282.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $274.89	Professional		$227.28	$227.28	$274.89
United Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
United Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $240.14 / $304.56	Professional		$213.87	$240.14	$304.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $231.57 / $231.57 / $231.57	Facility		$231.57	$231.57	$231.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $231.57 / $231.57	Professional		$227.28	$231.57	$231.57