Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $146.75 / $271.64	Facility		$114.80	$146.75	$271.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $147.34 / $212.61	Professional		$114.80	$147.34	$212.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.23 / $343.97 / $674.46	Facility		$337.23	$343.97	$674.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $186.58 / $522.41	Professional		$186.58	$186.58	$522.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $261.29 / $280.95 / $280.95	Facility		$261.29	$280.95	$280.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.95 / $280.95 / $280.95	Professional		$280.95	$280.95	$280.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $192.91	Professional		$140.82	$140.82	$192.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $758.77	Facility		$319.00	$346.00	$758.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.05 / $249.55 / $607.01	Professional		$182.05	$249.55	$607.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.56 / $227.56 / $227.56	Facility		$227.56	$227.56	$227.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $215.41 / $273.07	Professional		$202.73	$215.41	$273.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $555.00	Facility		$192.91	$192.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $500.63	Professional		$140.82	$192.91	$500.63
United Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $178.01 / $308.44	Professional		$112.16	$178.01	$308.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $202.73 / $202.73	Facility		$191.51	$202.73	$202.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $202.73 / $227.56	Professional		$202.73	$202.73	$227.56