Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.29 / $186.26 / $344.77	Facility		$157.29	$186.26	$344.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $197.32 / $269.83	Professional		$157.29	$197.32	$269.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.99 / $436.55 / $855.98	Facility		$427.99	$436.55	$855.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $220.24 / $653.39	Professional		$220.24	$220.24	$653.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $331.62 / $356.58 / $356.58	Facility		$331.62	$356.58	$356.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $356.58 / $356.58	Professional		$356.58	$356.58	$356.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $274.64	Professional		$200.49	$200.49	$274.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $427.99 / $962.98	Facility		$319.00	$427.99	$962.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $252.51 / $345.60 / $770.38	Professional		$252.51	$345.60	$770.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.50 / $353.50 / $353.50	Facility		$353.50	$353.50	$353.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.31 / $273.39 / $356.58	Professional		$257.31	$273.39	$356.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $555.00	Facility		$274.64	$274.64	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $255.00 / $589.22	Professional		$200.49	$255.00	$589.22
United Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $243.08 / $385.35	Professional		$142.35	$243.08	$385.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.31 / $257.31 / $267.41	Facility		$257.31	$257.31	$267.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $257.31 / $257.31 / $353.50	Professional		$257.31	$257.31	$353.50