Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.08 / $126.65 / $234.45	Facility		$99.08	$126.65	$234.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $154.93 / $188.61	Professional		$99.08	$154.93	$188.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.04 / $296.86 / $582.08	Facility		$291.04	$296.86	$582.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $472.39	Professional		$177.26	$177.26	$472.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $225.51 / $242.48 / $242.48	Facility		$225.51	$242.48	$242.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $242.48 / $242.48 / $242.48	Professional		$242.48	$242.48	$242.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $181.86	Professional		$132.76	$132.76	$181.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $291.04 / $346.00 / $654.84	Facility		$291.04	$346.00	$654.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $218.28 / $523.87	Professional		$150.29	$218.28	$523.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.49 / $185.49 / $185.49	Facility		$185.49	$185.49	$185.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $185.49 / $222.59	Professional		$174.98	$185.49	$222.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $555.00	Facility		$181.86	$181.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $179.88 / $433.65	Professional		$132.76	$179.88	$433.65
United Facility/Professional Facility Modifier Low / Median / High Price $109.36 / $143.90 / $189.98	Facility		$109.36	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $157.30 / $266.83	Professional		$96.80	$157.30	$266.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $174.98 / $174.98	Facility		$165.30	$174.98	$174.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $174.98 / $174.98 / $185.91	Professional		$174.98	$174.98	$185.91