Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $106.65 / $197.41	Facility		$83.43	$106.65	$197.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $106.65 / $154.50	Professional		$83.43	$106.65	$154.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.07 / $249.97 / $490.14	Facility		$245.07	$249.97	$490.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $111.78 / $357.98	Professional		$111.78	$111.78	$357.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $189.89 / $204.18 / $204.18	Facility		$189.89	$204.18	$204.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $204.18 / $204.18	Professional		$204.18	$204.18	$204.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $126.23	Professional		$92.15	$92.15	$126.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.07 / $332.00 / $551.41	Facility		$245.07	$332.00	$551.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $183.80 / $441.13	Professional		$141.94	$183.80	$441.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.83 / $185.83 / $185.83	Facility		$185.83	$185.83	$185.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $156.54 / $204.18	Professional		$147.34	$156.54	$204.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $555.00	Facility		$126.23	$126.23	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $291.58	Professional		$92.15	$126.23	$291.58
United Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $122.26 / $224.15	Professional		$81.51	$122.26	$224.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $147.34 / $153.11	Facility		$147.34	$147.34	$153.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $185.83	Professional		$147.34	$147.34	$185.83