Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $162.24 / $270.14	Facility		$145.94	$162.24	$270.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $162.24 / $211.43	Professional		$145.94	$162.24	$211.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.36 / $342.07 / $670.72	Facility		$335.36	$342.07	$670.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $183.63 / $531.76	Professional		$183.63	$183.63	$531.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $259.83 / $279.39 / $279.39	Facility		$259.83	$279.39	$279.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $279.39 / $279.39	Professional		$279.39	$279.39	$279.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $192.25	Professional		$140.34	$140.34	$192.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $754.56	Facility		$319.00	$346.00	$754.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $251.52 / $603.65	Professional		$197.86	$251.52	$603.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.39 / $260.39 / $260.39	Facility		$260.39	$260.39	$260.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $224.93 / $279.39	Professional		$211.70	$224.93	$279.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $555.00	Facility		$192.25	$192.25	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $497.81	Professional		$140.34	$192.25	$497.81
United Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $178.16 / $307.45	Professional		$111.54	$178.16	$307.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.45 / $224.45 / $224.45	Facility		$224.45	$224.45	$224.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $224.45 / $260.39	Professional		$211.70	$224.45	$260.39