Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $321.41 / $561.20	Facility		$255.09	$321.41	$561.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $299.62	Professional		$256.08	$256.08	$299.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.87 / $204.87 / $256.08	Facility		$204.87	$204.87	$256.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $256.08 / $265.74	Professional		$227.23	$256.08	$265.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $207.63 / $207.63 / $218.01	Facility		$207.63	$207.63	$218.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $207.63 / $207.63 / $207.63	Professional		$207.63	$207.63	$207.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.98 / $241.59 / $249.61	Facility		$214.98	$241.59	$249.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $256.08	Professional		$256.08	$256.08	$256.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $314.07 / $543.58	Facility		$250.00	$314.07	$543.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.75 / $265.75 / $312.43	Professional		$265.75	$265.75	$312.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $256.08 / $260.92	Facility		$256.08	$256.08	$260.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $260.92 / $260.92	Professional		$256.08	$260.92	$260.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.98 / $241.59 / $310.11	Facility		$214.98	$241.59	$310.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $289.91	Professional		$256.08	$256.08	$289.91
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $343.16	Professional		$256.08	$271.45	$343.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $260.92 / $260.92 / $260.92	Facility		$260.92	$260.92	$260.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $260.92 / $260.92	Professional		$256.08	$260.92	$260.92