Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $155.75 / $288.30	Facility		$131.52	$155.75	$288.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $183.86 / $225.64	Professional		$131.52	$183.86	$225.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.90 / $365.06 / $715.80	Facility		$357.90	$365.06	$715.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $217.64 / $580.01	Professional		$217.64	$217.64	$580.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $277.31 / $298.18 / $298.18	Facility		$277.31	$298.18	$298.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $298.18 / $298.18 / $298.18	Professional		$298.18	$298.18	$298.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $217.40 / $297.81	Professional		$217.40	$217.40	$297.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $357.90 / $805.28	Facility		$319.00	$357.90	$805.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $268.43 / $644.22	Professional		$184.81	$268.43	$644.22
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Facility		$101.00	$101.00	$101.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $215.17 / $256.64	Professional		$101.00	$215.17	$256.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $555.00	Facility		$297.81	$297.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $217.40 / $533.27	Professional		$213.23	$217.40	$533.27
United Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $211.76 / $322.23	Professional		$119.03	$211.76	$322.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $223.60	Facility		$215.17	$215.17	$223.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $215.17 / $228.62	Professional		$101.00	$215.17	$228.62