Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $320.57 / $546.70	Facility		$248.50	$320.57	$546.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $290.74	Professional		$248.50	$248.50	$290.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.80 / $198.80 / $248.50	Facility		$198.80	$198.80	$248.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $248.50 / $257.87	Professional		$226.71	$248.50	$257.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $212.64 / $223.27	Facility		$212.64	$212.64	$223.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $212.64 / $212.64	Professional		$212.64	$212.64	$212.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.54 / $234.43 / $243.63	Facility		$219.54	$234.43	$243.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.33 / $304.76 / $527.47	Facility		$239.33	$304.76	$527.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $239.33 / $303.17	Professional		$239.33	$239.33	$303.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $253.19	Facility		$248.50	$248.50	$253.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $253.19 / $253.19	Professional		$248.50	$253.19	$253.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $219.54 / $234.43 / $306.02	Facility		$219.54	$234.43	$306.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $281.32	Professional		$248.50	$248.50	$281.32
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $258.51 / $332.99	Professional		$248.50	$258.51	$332.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $253.19 / $253.19 / $253.19	Facility		$253.19	$253.19	$253.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $253.19 / $253.19	Professional		$248.50	$253.19	$253.19