Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.27 / $138.60 / $615.82	Facility		$60.27	$138.60	$615.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $150.19 / $208.55	Professional		$105.20	$150.19	$208.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $315.20 / $618.05	Facility		$309.02	$315.20	$618.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $171.10 / $478.96	Professional		$171.10	$171.10	$478.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $239.45 / $257.47 / $257.47	Facility		$239.45	$257.47	$257.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.47 / $257.47 / $257.47	Professional		$257.47	$257.47	$257.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $180.09	Professional		$129.03	$129.03	$180.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $309.02 / $346.00 / $695.32	Facility		$309.02	$346.00	$695.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $228.68 / $556.25	Professional		$178.71	$228.68	$556.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.39 / $223.39 / $223.39	Facility		$223.39	$223.39	$223.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $197.40 / $257.47	Professional		$185.79	$197.40	$257.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $180.09 / $555.00	Facility		$176.75	$180.09	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $129.03 / $458.91	Professional		$86.21	$129.03	$458.91
United Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $160.44 / $282.66	Professional		$102.78	$160.44	$282.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.19 / $185.79 / $185.79	Facility		$165.19	$185.79	$185.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $185.79 / $223.39	Professional		$185.79	$185.79	$223.39