Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.44 / $183.36 / $339.40	Facility		$143.44	$183.36	$339.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $225.53 / $265.63	Professional		$143.44	$225.53	$265.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.34 / $429.77 / $842.68	Facility		$421.34	$429.77	$842.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $664.46	Professional		$239.88	$239.88	$664.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.45 / $351.03 / $351.03	Facility		$326.45	$351.03	$351.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $351.03 / $351.03 / $351.03	Professional		$351.03	$351.03	$351.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $246.11	Professional		$179.66	$179.66	$246.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $421.34 / $948.02	Facility		$319.00	$421.34	$948.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $316.01 / $758.41	Professional		$217.57	$316.01	$758.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.28 / $230.28 / $230.28	Facility		$230.28	$230.28	$230.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $253.31 / $302.14	Professional		$230.28	$253.31	$302.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $555.00	Facility		$246.11	$246.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.11 / $627.79	Professional		$179.66	$246.11	$627.79
United Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $222.51 / $385.36	Professional		$140.13	$222.51	$385.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $253.31 / $253.31 / $263.23	Facility		$253.31	$253.31	$263.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $253.31 / $269.14	Professional		$230.28	$253.31	$269.14