Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.99 / $201.97 / $373.85	Facility		$157.99	$201.97	$373.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $231.52 / $292.58	Professional		$157.99	$231.52	$292.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.11 / $473.39 / $928.22	Facility		$464.11	$473.39	$928.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.12 / $242.12 / $715.30	Professional		$242.12	$242.12	$715.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $386.66 / $386.66	Facility		$359.59	$386.66	$386.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $386.66 / $386.66 / $386.66	Professional		$386.66	$386.66	$386.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $273.20	Professional		$199.44	$199.44	$273.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $464.11 / $1,044.25	Facility		$319.00	$464.11	$1,044.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.64 / $348.08 / $835.40	Professional		$239.64	$348.08	$835.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.50 / $252.50 / $252.50	Facility		$252.50	$252.50	$252.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $279.02 / $332.80	Professional		$252.50	$279.02	$332.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $555.00	Facility		$273.20	$273.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $273.20 / $691.52	Professional		$199.44	$273.20	$691.52
United Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $240.17 / $417.70	Professional		$154.36	$240.17	$417.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $279.02 / $289.95	Facility		$279.02	$279.02	$289.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $279.02 / $296.45	Professional		$252.50	$279.02	$296.45