Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.29 / $183.17 / $339.06	Facility		$143.29	$183.17	$339.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.29 / $212.17 / $265.36	Professional		$143.29	$212.17	$265.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.91 / $429.33 / $841.82	Facility		$420.91	$429.33	$841.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $256.36 / $683.19	Professional		$256.36	$256.36	$683.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.13 / $350.68 / $350.68	Facility		$326.13	$350.68	$350.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $350.68 / $350.68 / $350.68	Professional		$350.68	$350.68	$350.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $295.70	Professional		$215.87	$215.87	$295.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $420.91 / $947.05	Facility		$319.00	$420.91	$947.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $226.26 / $315.68 / $757.64	Professional		$226.26	$315.68	$757.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.82 / $282.82 / $282.82	Facility		$282.82	$282.82	$282.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.05 / $268.86 / $339.38	Professional		$253.05	$268.86	$339.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $555.00	Facility		$295.70	$295.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $260.14 / $627.16	Professional		$215.87	$260.14	$627.16
United Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $208.12 / $238.12	Facility		$158.16	$208.12	$238.12
United Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $230.73 / $384.98	Professional		$139.99	$230.73	$384.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $253.05 / $253.05 / $281.24	Facility		$253.05	$253.05	$281.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $253.05 / $253.05 / $282.82	Professional		$253.05	$253.05	$282.82