Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.81 / $160.83 / $297.69	Facility		$125.81	$160.83	$297.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $175.88 / $239.49	Professional		$125.81	$175.88	$239.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.55 / $376.94 / $739.10	Facility		$369.55	$376.94	$739.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $225.09 / $599.86	Professional		$225.09	$225.09	$599.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $307.89 / $307.89	Facility		$286.33	$307.89	$307.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $307.89 / $307.89 / $307.89	Professional		$307.89	$307.89	$307.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $369.55 / $831.49	Facility		$319.00	$369.55	$831.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $277.16 / $665.19	Professional		$190.83	$277.16	$665.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.85 / $186.85 / $186.85	Facility		$186.85	$186.85	$186.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $222.18 / $265.01	Professional		$186.85	$222.18	$265.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $555.00	Facility		$230.92	$230.92	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $220.17 / $535.30	Professional		$168.57	$220.17	$535.30
United Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $195.17 / $338.81	Professional		$122.91	$195.17	$338.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $222.18 / $222.18 / $230.88	Facility		$222.18	$222.18	$230.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.85 / $222.18 / $236.07	Professional		$186.85	$222.18	$236.07