Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.47 / $132.26 / $244.82	Facility		$103.47	$132.26	$244.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $156.34 / $191.61	Professional		$103.47	$156.34	$191.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.93 / $310.01 / $607.86	Facility		$303.93	$310.01	$607.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $185.10 / $493.29	Professional		$185.10	$185.10	$493.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $235.49 / $253.21 / $253.21	Facility		$235.49	$253.21	$253.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $253.21 / $253.21 / $253.21	Professional		$253.21	$253.21	$253.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $189.91	Professional		$138.63	$138.63	$189.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $303.93 / $346.00 / $683.84	Facility		$303.93	$346.00	$683.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $227.95 / $547.07	Professional		$156.94	$227.95	$547.07
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 $182.72 / $186.85 / $224.22	Professional		$182.72	$186.85	$224.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $555.00	Facility		$189.91	$189.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $141.00 / $452.86	Professional		$138.63	$141.00	$452.86
United Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $164.26 / $277.97	Professional		$101.08	$164.26	$277.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $182.72 / $182.72 / $189.88	Facility		$182.72	$182.72	$189.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.72 / $182.72 / $194.15	Professional		$182.72	$182.72	$194.15