Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $165.56 / $430.46	Facility		$117.04	$165.56	$430.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $156.53 / $224.41	Professional		$117.04	$156.53	$224.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.78 / $350.66 / $687.56	Facility		$343.78	$350.66	$687.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.64 / $191.64 / $532.79	Professional		$191.64	$191.64	$532.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $266.36 / $286.41 / $286.41	Facility		$266.36	$286.41	$286.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.41 / $286.41 / $286.41	Professional		$286.41	$286.41	$286.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $298.63	Professional		$155.47	$212.98	$298.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $773.51	Facility		$319.00	$346.00	$773.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $254.40 / $618.79	Professional		$198.82	$254.40	$618.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.52 / $248.52 / $248.52	Facility		$248.52	$248.52	$248.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $219.61 / $286.41	Professional		$206.69	$219.61	$286.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $555.00	Facility		$212.98	$212.98	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $408.38	Professional		$155.47	$212.98	$408.38
United Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $183.13 / $314.42	Professional		$114.34	$183.13	$314.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $206.69 / $206.69	Facility		$183.77	$206.69	$206.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $206.69 / $248.52	Professional		$206.69	$206.69	$248.52