Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $144.78 / $267.99	Facility		$113.25	$144.78	$267.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $145.36 / $209.74	Professional		$113.25	$145.36	$209.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.68 / $339.33 / $665.36	Facility		$332.68	$339.33	$665.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $185.44 / $515.60	Professional		$185.44	$185.44	$515.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.77 / $277.17 / $277.17	Facility		$257.77	$277.17	$277.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $277.17 / $277.17 / $277.17	Professional		$277.17	$277.17	$277.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $227.96	Professional		$166.41	$166.41	$227.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $748.53	Facility		$319.00	$346.00	$748.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $249.51 / $598.82	Professional		$196.28	$249.51	$598.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.26 / $252.26 / $252.26	Facility		$252.26	$252.26	$252.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $212.51 / $277.17	Professional		$200.00	$212.51	$277.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $597.00	Facility		$227.96	$227.96	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $205.61 / $494.06	Professional		$166.41	$205.61	$494.06
United Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $178.76 / $287.86	Professional		$110.65	$178.76	$287.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $222.28	Facility		$200.00	$200.00	$222.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $252.26	Professional		$200.00	$200.00	$252.26