Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $137.97 / $255.40	Facility		$107.94	$137.97	$255.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $155.08 / $199.89	Professional		$107.94	$155.08	$199.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.05 / $323.39 / $634.10	Facility		$317.05	$323.39	$634.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $191.22 / $509.60	Professional		$191.22	$191.22	$509.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.66 / $264.14 / $264.14	Facility		$245.66	$264.14	$264.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $264.14 / $264.14	Professional		$264.14	$264.14	$264.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $317.05 / $346.00 / $713.36	Facility		$317.05	$346.00	$713.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $237.79 / $570.69	Professional		$163.72	$237.79	$570.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.01 / $102.01 / $102.01	Facility		$102.01	$102.01	$102.01
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $190.62 / $227.36	Professional		$102.01	$190.62	$227.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $555.00	Facility		$205.09	$205.09	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $188.89 / $459.38	Professional		$149.72	$188.89	$459.38
United Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $181.06 / $289.98	Professional		$105.45	$181.06	$289.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $190.62 / $198.08	Facility		$190.62	$190.62	$198.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $190.62 / $202.52	Professional		$102.01	$190.62	$202.52