Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.51 / $131.04 / $242.56	Facility		$102.51	$131.04	$242.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $131.04 / $189.84	Professional		$98.68	$131.04	$189.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.11 / $307.13 / $602.22	Facility		$301.11	$307.13	$602.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $134.43 / $439.86	Professional		$134.43	$134.43	$439.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $233.31 / $250.87 / $250.87	Facility		$233.31	$250.87	$250.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $250.87 / $250.87	Professional		$250.87	$250.87	$250.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $141.12	Professional		$103.02	$103.02	$141.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $301.11 / $332.00 / $677.50	Facility		$301.11	$332.00	$677.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $225.83 / $542.00	Professional		$167.12	$225.83	$542.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $228.32 / $228.32	Facility		$228.32	$228.32	$228.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.03 / $192.34 / $250.87	Professional		$181.03	$192.34	$250.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $555.00	Facility		$141.12	$141.12	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $141.12 / $466.72	Professional		$103.02	$141.12	$466.72
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $150.22 / $259.54	Professional		$100.15	$150.22	$259.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $181.03 / $188.13	Facility		$181.03	$181.03	$188.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.03 / $181.03 / $228.32	Professional		$181.03	$181.03	$228.32