Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.94 / $197.69 / $365.94	Facility		$166.94	$197.69	$365.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $212.97 / $286.41	Professional		$166.94	$212.97	$286.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.29 / $463.38 / $908.58	Facility		$454.29	$463.38	$908.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $269.00 / $720.33	Professional		$269.00	$269.00	$720.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $378.49 / $378.49	Facility		$352.00	$378.49	$378.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $378.49 / $378.49	Professional		$378.49	$378.49	$378.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $279.26	Professional		$203.86	$203.86	$279.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $454.29 / $1,022.15	Facility		$319.00	$454.29	$1,022.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $340.72 / $817.72	Professional		$234.57	$340.72	$817.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $242.40 / $242.40	Facility		$242.40	$242.40	$242.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $273.11 / $325.76	Professional		$242.40	$273.11	$325.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $569.79	Facility		$279.26	$279.26	$569.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $270.64 / $625.78	Professional		$203.86	$270.64	$625.78
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $272.57 / $415.50	Professional		$151.09	$272.57	$415.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $273.11 / $273.11 / $293.81	Facility		$273.11	$273.11	$293.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $273.11 / $290.18	Professional		$242.40	$273.11	$290.18