Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.92 / $203.59 / $376.85	Facility		$171.92	$203.59	$376.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.92 / $203.59 / $294.95	Professional		$171.92	$203.59	$294.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.83 / $477.19 / $935.66	Facility		$467.83	$477.19	$935.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $221.25 / $683.39	Professional		$221.25	$221.25	$683.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $362.49 / $389.77 / $389.77	Facility		$362.49	$389.77	$389.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.77 / $389.77 / $389.77	Professional		$389.77	$389.77	$389.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $228.28	Professional		$166.64	$166.64	$228.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $467.83 / $1,052.61	Facility		$319.00	$467.83	$1,052.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $241.57 / $336.84 / $842.09	Professional		$241.57	$336.84	$842.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.85 / $287.85 / $287.85	Facility		$287.85	$287.85	$287.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $287.85 / $345.42	Professional		$281.25	$287.85	$345.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $555.00	Facility		$228.28	$228.28	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $556.61	Professional		$166.64	$228.28	$556.61
United Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $252.84 / $394.74	Professional		$155.60	$252.84	$394.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $281.25 / $292.29	Facility		$281.25	$281.25	$292.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $281.25 / $298.83	Professional		$281.25	$281.25	$298.83