Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.56 / $210.36 / $506.13	Facility		$164.56	$210.36	$506.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.56 / $234.95 / $304.77	Professional		$164.56	$234.95	$304.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.41 / $493.08 / $966.82	Facility		$483.41	$493.08	$966.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.12 / $268.12 / $749.18	Professional		$268.12	$268.12	$749.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $374.56 / $402.75 / $402.75	Facility		$374.56	$402.75	$402.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $402.75 / $402.75 / $402.75	Professional		$402.75	$402.75	$402.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $342.75	Professional		$228.35	$228.35	$342.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $483.41 / $1,087.67	Facility		$319.00	$483.41	$1,087.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.97 / $357.72 / $870.14	Professional		$260.97	$357.72	$870.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $326.20 / $326.20	Facility		$326.20	$326.20	$326.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $308.77 / $391.45	Professional		$290.62	$308.77	$391.45
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $218.56 / $218.56	Professional		$218.56	$218.56	$218.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $583.55	Facility		$312.81	$312.81	$583.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.12 / $228.35 / $717.66	Professional		$202.12	$228.35	$717.66
United Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $255.16 / $442.15	Professional		$160.78	$255.16	$442.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $290.62 / $290.62	Facility		$274.52	$290.62	$290.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $290.62 / $326.20	Professional		$290.62	$290.62	$326.20