Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $183.17 / $339.06	Facility		$149.22	$183.17	$339.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $183.17 / $236.02	Professional		$149.22	$183.17	$236.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $263.25 / $516.17	Facility		$258.08	$263.25	$516.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $266.83 / $667.10	Professional		$266.83	$266.83	$667.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.86 / $318.13 / $318.13	Facility		$295.86	$318.13	$318.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $318.13 / $318.13 / $318.13	Professional		$318.13	$318.13	$318.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $312.30	Professional		$227.98	$227.98	$312.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $332.00 / $580.70	Facility		$258.08	$332.00	$580.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $217.35 / $464.56	Professional		$160.02	$217.35	$464.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.54 / $249.54 / $249.54	Facility		$249.54	$249.54	$249.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $266.18 / $282.82	Professional		$249.54	$266.18	$282.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $312.30 / $555.00	Facility		$258.08	$312.30	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $260.14 / $418.13	Professional		$227.98	$260.14	$418.13
United Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $227.49 / $362.79	Professional		$139.99	$227.49	$362.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $266.18 / $266.18 / $266.18	Facility		$266.18	$266.18	$266.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $266.18 / $282.82	Professional		$249.54	$266.18	$282.82