Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.43 / $150.11 / $277.85	Facility		$117.43	$150.11	$277.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.43 / $150.11 / $217.46	Professional		$117.43	$150.11	$217.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.93 / $351.83 / $689.86	Facility		$344.93	$351.83	$689.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $156.19 / $503.86	Professional		$156.19	$156.19	$503.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $267.25 / $287.37 / $287.37	Facility		$267.25	$287.37	$287.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $287.37 / $287.37 / $287.37	Professional		$287.37	$287.37	$287.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $165.40	Professional		$120.74	$120.74	$165.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $345.25 / $776.09	Facility		$319.00	$345.25	$776.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $252.50 / $620.87	Professional		$202.00	$252.50	$620.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.50 / $252.50 / $252.50	Facility		$252.50	$252.50	$252.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.38 / $220.34 / $287.37	Professional		$207.38	$220.34	$287.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $555.00	Facility		$165.40	$165.40	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $418.59	Professional		$120.74	$165.40	$418.59
United Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $172.08 / $310.44	Professional		$114.72	$172.08	$310.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $207.38 / $207.38 / $215.50	Facility		$207.38	$207.38	$215.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $207.38 / $207.38 / $252.50	Professional		$207.38	$207.38	$252.50