Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $131.07 / $242.60	Facility		$102.53	$131.07	$242.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $143.33 / $195.17	Professional		$102.53	$143.33	$195.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $307.19 / $602.34	Facility		$301.17	$307.19	$602.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $183.43 / $488.84	Professional		$183.43	$183.43	$488.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $250.92 / $250.92	Facility		$233.36	$250.92	$250.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $250.92 / $250.92 / $250.92	Professional		$250.92	$250.92	$250.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $137.38 / $188.19	Professional		$137.38	$137.38	$188.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $346.00 / $677.63	Facility		$301.17	$346.00	$677.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $225.88 / $542.11	Professional		$155.51	$225.88	$542.11
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 $181.06 / $186.85 / $224.22	Professional		$181.06	$186.85	$224.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $555.00	Facility		$188.19	$188.19	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $179.42 / $436.41	Professional		$137.38	$179.42	$436.41
United Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $162.77 / $276.11	Professional		$100.17	$162.77	$276.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $181.06 / $188.16	Facility		$181.06	$181.06	$188.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $181.06 / $192.38	Professional		$181.06	$181.06	$192.38