Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.86 / $171.12 / $316.75	Facility		$133.86	$171.12	$316.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.86 / $171.12 / $247.91	Professional		$133.86	$171.12	$247.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.23 / $401.09 / $786.46	Facility		$393.23	$401.09	$786.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $192.71 / $587.76	Professional		$192.71	$192.71	$587.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $304.68 / $327.61 / $327.61	Facility		$304.68	$327.61	$327.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $327.61 / $327.61 / $327.61	Professional		$327.61	$327.61	$327.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $268.08	Professional		$195.70	$195.70	$268.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $393.23 / $884.77	Facility		$319.00	$393.23	$884.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $232.01 / $294.92 / $707.81	Professional		$232.01	$294.92	$707.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $298.14 / $298.14	Facility		$298.14	$298.14	$298.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $251.18 / $327.61	Professional		$236.40	$251.18	$327.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $555.00	Facility		$268.08	$268.08	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $234.26 / $585.91	Professional		$195.70	$234.26	$585.91
United Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $203.89 / $338.92	Professional		$130.78	$203.89	$338.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $236.40 / $236.40 / $245.66	Facility		$236.40	$236.40	$245.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $236.40 / $236.40 / $298.14	Professional		$236.40	$236.40	$298.14