Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $138.94 / $257.19	Facility		$108.69	$138.94	$257.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $138.94 / $201.30	Professional		$108.69	$138.94	$201.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $325.67 / $638.55	Facility		$319.27	$325.67	$638.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $163.91 / $487.40	Professional		$163.91	$163.91	$487.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $247.39 / $266.01 / $266.01	Facility		$247.39	$266.01	$266.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $266.01 / $266.01 / $266.01	Professional		$266.01	$266.01	$266.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $170.96	Professional		$124.80	$124.80	$170.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $718.38	Facility		$319.00	$332.00	$718.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $239.46 / $574.70	Professional		$188.38	$239.46	$574.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.10 / $242.10 / $242.10	Facility		$242.10	$242.10	$242.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $203.94 / $266.01	Professional		$191.95	$203.94	$266.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $555.00	Facility		$170.96	$170.96	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $170.96 / $494.88	Professional		$124.80	$170.96	$494.88
United Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $159.29 / $287.47	Professional		$106.19	$159.29	$287.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $191.95 / $191.95 / $199.48	Facility		$191.95	$191.95	$199.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $191.95 / $242.10	Professional		$191.95	$191.95	$242.10