Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $120.74 / $223.49	Facility		$94.45	$120.74	$223.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $124.15 / $174.92	Professional		$94.45	$124.15	$174.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $283.00 / $554.90	Facility		$277.45	$283.00	$554.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $139.22 / $423.53	Professional		$139.22	$139.22	$423.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $231.15 / $231.15	Facility		$214.97	$231.15	$231.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $231.15 / $231.15 / $231.15	Professional		$231.15	$231.15	$231.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $144.84	Professional		$105.73	$105.73	$144.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $332.00 / $624.26	Facility		$277.45	$332.00	$624.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $210.26 / $499.41	Professional		$163.69	$210.26	$499.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.36 / $210.36 / $210.36	Facility		$210.36	$210.36	$210.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $177.22 / $231.15	Professional		$166.79	$177.22	$231.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $555.00	Facility		$144.84	$144.84	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $144.84 / $430.05	Professional		$105.73	$144.84	$430.05
United Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $138.41 / $253.76	Professional		$92.28	$138.41	$253.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $166.79 / $166.79 / $173.32	Facility		$166.79	$166.79	$173.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $166.79 / $210.36	Professional		$166.79	$166.79	$210.36