Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $224.73 / $415.99	Facility		$183.09	$224.73	$415.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $224.73 / $304.97	Professional		$183.09	$224.73	$304.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $335.44 / $657.72	Facility		$328.86	$335.44	$657.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $327.38 / $820.70	Professional		$327.38	$327.38	$820.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $369.27 / $397.06 / $397.06	Facility		$369.27	$397.06	$397.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $397.06 / $397.06 / $397.06	Professional		$397.06	$397.06	$397.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $739.94	Facility		$319.00	$346.00	$739.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.89 / $266.66 / $591.95	Professional		$203.89	$266.66	$591.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $326.57 / $347.02	Professional		$306.16	$326.57	$347.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $382.03 / $555.00	Facility		$328.86	$382.03	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $319.16 / $532.50	Professional		$278.88	$319.16	$532.50
United Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $267.36 / $445.60	Professional		$171.75	$267.36	$445.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $326.57 / $326.57 / $326.57	Facility		$326.57	$326.57	$326.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $306.16 / $326.57 / $346.98	Professional		$306.16	$326.57	$346.98