Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $126.34 / $233.85	Facility		$106.68	$126.34	$233.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $132.72 / $183.02	Professional		$106.68	$132.72	$183.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $296.08 / $580.55	Facility		$290.27	$296.08	$580.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $175.88 / $468.72	Professional		$175.88	$175.88	$468.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $224.93 / $241.86 / $241.86	Facility		$224.93	$241.86	$241.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $241.86 / $241.86 / $241.86	Professional		$241.86	$241.86	$241.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $166.52	Professional		$121.56	$121.56	$166.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $346.00 / $653.13	Facility		$290.27	$346.00	$653.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $217.71 / $522.50	Professional		$149.90	$217.71	$522.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $161.60 / $161.60	Facility		$161.60	$161.60	$161.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $174.53 / $208.18	Professional		$161.60	$174.53	$208.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $555.00	Facility		$166.52	$166.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $432.52	Professional		$121.56	$166.52	$432.52
United Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $174.17 / $265.52	Professional		$96.55	$174.17	$265.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $174.53 / $174.53 / $181.37	Facility		$174.53	$174.53	$181.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $174.53 / $185.43	Professional		$161.60	$174.53	$185.43