Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.32 / $297.32 / $460.85	Facility		$297.32	$297.32	$460.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $308.47 / $315.89	Professional		$256.44	$308.47	$315.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.38 / $257.38 / $321.72	Facility		$257.38	$257.38	$321.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $321.72 / $396.42	Professional		$139.47	$321.72	$396.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.70 / $309.70 / $340.68	Facility		$309.70	$309.70	$340.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $309.70 / $309.70	Professional		$309.70	$309.70	$309.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $321.72 / $341.31	Facility		$146.15	$321.72	$341.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $349.04	Professional		$321.72	$321.72	$349.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $301.04 / $332.00 / $682.90	Facility		$301.04	$332.00	$682.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.17 / $347.26 / $392.50	Professional		$332.17	$347.26	$392.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $166.79 / $166.79	Professional		$166.79	$166.79	$166.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $321.72 / $555.00	Facility		$146.15	$321.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $321.72 / $331.03	Professional		$10.00	$321.72	$331.03
United Facility/Professional Professional Modifier Low / Median / High Price $309.70 / $324.60 / $421.54	Professional		$309.70	$324.60	$421.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $166.79	Professional		$163.24	$163.24	$166.79