Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.15 / $195.77 / $362.39	Facility		$153.15	$195.77	$362.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $195.77 / $283.62	Professional		$153.15	$195.77	$283.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.87 / $458.87 / $899.74	Facility		$449.87	$458.87	$899.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.57 / $205.57 / $657.14	Professional		$205.57	$205.57	$657.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $348.57 / $374.81 / $374.81	Facility		$348.57	$374.81	$374.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $374.81 / $374.81 / $374.81	Professional		$374.81	$374.81	$374.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $218.27	Professional		$159.34	$159.34	$218.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $449.87 / $1,012.21	Facility		$319.00	$449.87	$1,012.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $337.40 / $809.77	Professional		$265.42	$337.40	$809.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.46 / $341.46 / $341.46	Facility		$341.46	$341.46	$341.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $287.36 / $374.81	Professional		$270.45	$287.36	$374.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $555.00	Facility		$218.27	$218.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $535.24	Professional		$159.34	$218.27	$535.24
United Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $224.44 / $379.59	Professional		$149.62	$224.44	$379.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $270.45 / $270.45 / $281.07	Facility		$270.45	$270.45	$281.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $270.45 / $341.46	Professional		$270.45	$270.45	$341.46