Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.82 / $146.63 / $271.43	Facility		$123.82	$146.63	$271.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $151.13 / $212.44	Professional		$123.82	$151.13	$212.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $343.70 / $673.92	Facility		$336.96	$343.70	$673.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $197.18 / $534.29	Professional		$197.18	$197.18	$534.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $280.73 / $280.73	Facility		$261.08	$280.73	$280.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $280.73 / $280.73 / $280.73	Professional		$280.73	$280.73	$280.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $203.51	Professional		$148.56	$148.56	$203.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $758.16	Facility		$319.00	$346.00	$758.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.99 / $252.72 / $606.53	Professional		$173.99	$252.72	$606.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.80 / $181.80 / $181.80	Facility		$181.80	$181.80	$181.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $202.58 / $241.63	Professional		$181.80	$202.58	$241.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $555.00	Facility		$203.51	$203.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $200.75 / $472.03	Professional		$148.56	$200.75	$472.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $202.18 / $308.19	Professional		$112.07	$202.18	$308.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $202.58 / $210.51	Facility		$202.58	$202.58	$210.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $202.58 / $215.24	Professional		$181.80	$202.58	$215.24