Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.68 / $126.14 / $314.44	Facility		$98.68	$126.14	$314.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $140.88 / $195.62	Professional		$98.68	$140.88	$195.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $295.66 / $579.72	Facility		$289.86	$295.66	$579.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $155.36 / $446.77	Professional		$155.36	$155.36	$446.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $224.60 / $241.50 / $241.50	Facility		$224.60	$241.50	$241.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $241.50 / $241.50	Professional		$241.50	$241.50	$241.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $238.16	Professional		$128.90	$176.58	$238.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $289.86 / $333.34 / $652.19	Facility		$289.86	$333.34	$652.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $214.50 / $521.75	Professional		$167.63	$214.50	$521.75
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $209.54 / $209.54	Facility		$209.54	$209.54	$209.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $185.17 / $241.50	Professional		$174.28	$185.17	$241.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $555.00	Facility		$176.58	$176.58	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $179.15 / $344.25	Professional		$128.90	$179.15	$344.25
United Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $150.00 / $265.12	Professional		$96.41	$150.00	$265.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $174.28 / $174.28	Facility		$154.94	$174.28	$174.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $174.28 / $209.54	Professional		$174.28	$174.28	$209.54