Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.13 / $111.38 / $206.16	Facility		$87.13	$111.38	$206.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $147.76 / $164.36	Professional		$87.13	$147.76	$164.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.93 / $261.05 / $511.86	Facility		$255.93	$261.05	$511.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $155.87 / $415.39	Professional		$155.87	$155.87	$415.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $198.30 / $213.23 / $213.23	Facility		$198.30	$213.23	$213.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $159.91	Professional		$116.74	$116.74	$159.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.93 / $332.00 / $575.84	Facility		$255.93	$332.00	$575.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $191.95 / $460.67	Professional		$132.15	$191.95	$460.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $153.87 / $183.53	Professional		$75.75	$153.87	$183.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $555.00	Facility		$159.91	$159.91	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $152.47 / $438.37	Professional		$116.74	$152.47	$438.37
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $137.52 / $234.63	Professional		$85.12	$137.52	$234.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $153.87 / $159.90	Facility		$153.87	$153.87	$159.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $153.87 / $163.49	Professional		$75.75	$153.87	$163.49