Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $154.66 / $286.30	Facility		$120.99	$154.66	$286.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $189.56 / $230.32	Professional		$120.99	$189.56	$230.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.41 / $362.52 / $710.82	Facility		$355.41	$362.52	$710.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.46 / $216.46 / $576.86	Professional		$216.46	$216.46	$576.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $296.11 / $296.11	Facility		$275.38	$296.11	$296.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.11 / $296.11 / $296.11	Professional		$296.11	$296.11	$296.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $243.89	Professional		$178.04	$178.04	$243.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $355.41 / $799.67	Facility		$319.00	$355.41	$799.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $266.56 / $639.74	Professional		$183.52	$266.56	$639.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.68 / $169.68 / $169.68	Facility		$169.68	$169.68	$169.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $213.68 / $254.86	Professional		$169.68	$213.68	$254.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $555.00	Facility		$243.89	$243.89	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $211.75 / $550.89	Professional		$178.04	$211.75	$550.89
United Facility/Professional Professional Modifier Low / Median / High Price $118.21 / $184.52 / $325.07	Professional		$118.21	$184.52	$325.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $213.68 / $213.68 / $222.05	Facility		$213.68	$213.68	$222.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $213.68 / $227.02	Professional		$169.68	$213.68	$227.02