Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.22 / $154.96 / $286.83	Facility		$121.22	$154.96	$286.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $154.96 / $193.84	Professional		$121.22	$154.96	$193.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.81 / $226.25 / $443.62	Facility		$221.81	$226.25	$443.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $197.68 / $526.80	Professional		$197.68	$197.68	$526.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $248.51 / $267.20 / $267.20	Facility		$248.51	$267.20	$267.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Professional		$267.20	$267.20	$267.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $221.81 / $332.00 / $499.07	Facility		$221.81	$332.00	$499.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $183.87 / $399.26	Professional		$137.52	$183.87	$399.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $186.85 / $186.85	Facility		$186.85	$186.85	$186.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $205.93 / $235.68	Professional		$186.85	$205.93	$235.68
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $125.19 / $125.19	Professional		$125.19	$125.19	$125.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $555.00	Facility		$214.95	$214.95	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $212.17 / $333.79	Professional		$156.91	$212.17	$333.79
United Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $180.29 / $300.49	Professional		$118.43	$180.29	$300.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $205.93 / $205.93 / $222.48	Facility		$205.93	$205.93	$222.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $205.93 / $218.80	Professional		$186.85	$205.93	$218.80