Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $150.62 / $278.80	Facility		$117.83	$150.62	$278.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $157.60 / $218.21	Professional		$117.83	$157.60	$218.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.12 / $353.04 / $692.24	Facility		$346.12	$353.04	$692.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.35 / $198.35 / $548.80	Professional		$198.35	$198.35	$548.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $268.17 / $288.36 / $288.36	Facility		$268.17	$288.36	$288.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $288.36 / $288.36 / $288.36	Professional		$288.36	$288.36	$288.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $197.94	Professional		$144.50	$144.50	$197.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.12 / $778.77	Facility		$319.00	$346.12	$778.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.72 / $256.13 / $623.02	Professional		$178.72	$256.13	$623.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.21 / $210.21 / $210.21	Facility		$210.21	$210.21	$210.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $210.21 / $252.25	Professional		$208.08	$210.21	$252.25
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $153.44 / $153.44	Professional		$153.44	$153.44	$153.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $555.00	Facility		$197.94	$197.94	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $197.94 / $513.75	Professional		$144.50	$197.94	$513.75
United Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $179.11 / $316.77	Professional		$115.11	$179.11	$316.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.08 / $208.08 / $231.26	Facility		$208.08	$208.08	$231.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $208.08 / $221.08	Professional		$208.08	$208.08	$221.08