Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $177.49 / $328.54	Facility		$141.27	$177.49	$328.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $177.49 / $198.23	Professional		$144.19	$177.49	$198.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $234.73 / $460.26	Facility		$230.13	$234.73	$460.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $239.42 / $631.67	Professional		$239.42	$239.42	$631.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $297.22 / $297.22	Facility		$276.41	$297.22	$297.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $297.22 / $297.22 / $297.22	Professional		$297.22	$297.22	$297.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $332.00 / $517.79	Facility		$230.13	$332.00	$517.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.68 / $207.37 / $414.23	Professional		$142.68	$207.37	$414.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.81 / $241.81 / $241.81	Facility		$241.81	$241.81	$241.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $257.93 / $274.05	Professional		$241.81	$257.93	$274.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $278.10 / $555.00	Facility		$230.13	$278.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $252.08 / $372.66	Professional		$203.01	$252.08	$372.66
United Facility/Professional Professional Modifier Low / Median / High Price $135.65 / $203.47 / $344.13	Professional		$135.65	$203.47	$344.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.93 / $257.93 / $257.93	Facility		$257.93	$257.93	$257.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $257.93 / $274.05	Professional		$241.81	$257.93	$274.05