Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.83 / $189.27 / $350.35	Facility		$159.83	$189.27	$350.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.83 / $215.27 / $276.89	Professional		$159.83	$215.27	$276.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.94 / $443.64 / $869.88	Facility		$434.94	$443.64	$869.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $263.39 / $701.96	Professional		$263.39	$263.39	$701.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $336.99 / $362.36 / $362.36	Facility		$336.99	$362.36	$362.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $362.36 / $362.36 / $362.36	Professional		$362.36	$362.36	$362.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $271.77	Professional		$198.39	$198.39	$271.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $434.94 / $978.62	Facility		$319.00	$434.94	$978.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $224.59 / $326.20 / $782.89	Professional		$224.59	$326.20	$782.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.75 / $277.75 / $277.75	Facility		$277.75	$277.75	$277.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $277.75 / $333.30	Professional		$261.48	$277.75	$333.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $577.59	Facility		$271.77	$271.77	$577.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $259.13 / $630.47	Professional		$198.39	$259.13	$630.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $264.25 / $391.60	Professional		$144.66	$264.25	$391.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $261.48 / $261.48 / $271.73	Facility		$261.48	$261.48	$271.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $261.48 / $261.48 / $277.83	Professional		$261.48	$261.48	$277.83