Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $110.30 / $204.17	Facility		$86.29	$110.30	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $110.75 / $159.80	Professional		$86.29	$110.75	$159.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.46 / $258.52 / $506.92	Facility		$253.46	$258.52	$506.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $135.85 / $390.65	Professional		$135.85	$135.85	$390.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $196.39 / $211.17 / $211.17	Facility		$196.39	$211.17	$211.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $211.17 / $211.17 / $211.17	Professional		$211.17	$211.17	$211.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $168.00	Professional		$122.64	$122.64	$168.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $253.46 / $332.00 / $570.29	Facility		$253.46	$332.00	$570.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $187.56 / $456.23	Professional		$130.88	$187.56	$456.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $90.31	Facility		$90.31	$90.31	$90.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $152.38 / $181.76	Professional		$90.31	$152.38	$181.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $555.00	Facility		$168.00	$168.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $155.36 / $392.86	Professional		$122.64	$155.36	$392.86
United Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $135.03 / $231.99	Professional		$84.30	$135.03	$231.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $152.38 / $169.36	Facility		$152.38	$152.38	$169.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $152.38 / $161.91	Professional		$90.31	$152.38	$161.91