Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $174.78 / $323.52	Facility		$136.72	$174.78	$323.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $174.78 / $253.21	Professional		$136.72	$174.78	$253.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.63 / $409.66 / $803.26	Facility		$401.63	$409.66	$803.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $183.18 / $586.69	Professional		$183.18	$183.18	$586.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $311.19 / $334.61 / $334.61	Facility		$311.19	$334.61	$334.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $334.61 / $334.61 / $334.61	Professional		$334.61	$334.61	$334.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $188.22	Professional		$137.40	$137.40	$188.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $401.63 / $903.67	Facility		$319.00	$401.63	$903.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.96 / $301.22 / $722.93	Professional		$236.96	$301.22	$722.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $304.55 / $304.55 / $304.55	Facility		$304.55	$304.55	$304.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.47 / $256.56 / $334.61	Professional		$241.47	$256.56	$334.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $555.00	Facility		$188.22	$188.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $477.85	Professional		$137.40	$188.22	$477.85
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $200.37 / $367.35	Professional		$133.58	$200.37	$367.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $241.47 / $241.47 / $250.93	Facility		$241.47	$241.47	$250.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $241.47 / $241.47 / $304.55	Professional		$241.47	$241.47	$304.55