Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $121.72 / $225.31	Facility		$102.78	$121.72	$225.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $159.32 / $177.22	Professional		$102.78	$159.32	$177.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.69 / $285.27 / $559.38	Facility		$279.69	$285.27	$559.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $170.68 / $454.86	Professional		$170.68	$170.68	$454.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $216.72 / $233.03 / $233.03	Facility		$216.72	$233.03	$233.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $233.03 / $233.03 / $233.03	Professional		$233.03	$233.03	$233.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $174.77	Professional		$127.58	$127.58	$174.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $279.69 / $335.63 / $629.29	Facility		$279.69	$335.63	$629.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $209.77 / $503.44	Professional		$144.41	$209.77	$503.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.10 / $111.10 / $111.10	Facility		$111.10	$111.10	$111.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $168.15 / $200.57	Professional		$111.10	$168.15	$200.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $555.00	Facility		$174.77	$174.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $166.64 / $405.47	Professional		$127.58	$166.64	$405.47
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $174.67 / $256.42	Professional		$93.02	$174.67	$256.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $168.15 / $168.15 / $174.74	Facility		$168.15	$168.15	$174.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $168.15 / $178.66	Professional		$111.10	$168.15	$178.66