Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.27 / $167.81 / $310.61	Facility		$131.27	$167.81	$310.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $167.81 / $243.10	Professional		$126.36	$167.81	$243.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.60 / $393.31 / $771.20	Facility		$385.60	$393.31	$771.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $172.61 / $563.27	Professional		$172.61	$172.61	$563.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $298.77 / $321.26 / $321.26	Facility		$298.77	$321.26	$321.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $321.26 / $321.26	Professional		$321.26	$321.26	$321.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $180.71	Professional		$131.91	$131.91	$180.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $385.60 / $867.60	Facility		$319.00	$385.60	$867.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $277.63 / $694.08	Professional		$199.11	$277.63	$694.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.30 / $131.30 / $131.30	Facility		$131.30	$131.30	$131.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $231.83 / $276.52	Professional		$131.30	$231.83	$276.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $555.00	Facility		$180.71	$180.71	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $558.75	Professional		$131.91	$180.71	$558.75
United Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $192.70 / $332.35	Professional		$128.25	$192.70	$332.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $231.83 / $231.83 / $240.91	Facility		$231.83	$231.83	$240.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $231.83 / $246.32	Professional		$131.30	$231.83	$246.32