Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $173.85 / $321.80	Facility		$136.00	$173.85	$321.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $181.32 / $251.85	Professional		$136.00	$181.32	$251.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.47 / $407.46 / $798.94	Facility		$399.47	$407.46	$798.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $222.79 / $619.26	Professional		$222.79	$222.79	$619.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.52 / $332.82 / $332.82	Facility		$309.52	$332.82	$332.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $332.82 / $332.82 / $332.82	Professional		$332.82	$332.82	$332.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $291.02	Facility		$291.02	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $291.02	Professional		$212.45	$212.45	$291.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $399.47 / $898.81	Facility		$319.00	$399.47	$898.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $287.62 / $719.05	Professional		$206.28	$287.62	$719.05
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 $240.17 / $252.50 / $303.00	Professional		$240.17	$252.50	$303.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $555.00	Facility		$291.02	$291.02	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $237.99 / $595.21	Professional		$212.45	$237.99	$595.21
United Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $184.46 / $211.05	Facility		$140.18	$184.46	$211.05
United Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $210.36 / $365.38	Professional		$132.86	$210.36	$365.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $240.17 / $240.17 / $249.57	Facility		$240.17	$240.17	$249.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $240.17 / $255.17	Professional		$240.17	$240.17	$255.17