Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $187.10 / $346.34	Facility		$146.37	$187.10	$346.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $213.99 / $271.07	Professional		$146.37	$213.99	$271.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.96 / $438.56 / $859.92	Facility		$429.96	$438.56	$859.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $246.42 / $681.76	Professional		$246.42	$246.42	$681.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $333.14 / $358.22 / $358.22	Facility		$333.14	$358.22	$358.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $358.22 / $358.22 / $358.22	Professional		$358.22	$358.22	$358.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $253.20	Professional		$184.84	$184.84	$253.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $429.96 / $967.41	Facility		$319.00	$429.96	$967.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $322.47 / $773.93	Professional		$222.01	$322.47	$773.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.10 / $212.10 / $212.10	Facility		$212.10	$212.10	$212.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $258.49 / $308.31	Professional		$212.10	$258.49	$308.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $555.00	Facility		$253.20	$253.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $253.20 / $640.64	Professional		$184.84	$253.20	$640.64
United Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $223.22 / $393.25	Professional		$143.00	$223.22	$393.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $258.49 / $258.49 / $268.61	Facility		$258.49	$258.49	$268.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $258.49 / $274.64	Professional		$212.10	$258.49	$274.64