Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $147.69 / $273.39	Facility		$124.72	$147.69	$273.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $152.71 / $213.97	Professional		$124.72	$152.71	$213.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.38 / $346.17 / $678.76	Facility		$339.38	$346.17	$678.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $187.23 / $524.24	Professional		$187.23	$187.23	$524.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $262.97 / $282.76 / $282.76	Facility		$262.97	$282.76	$282.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $282.76 / $282.76 / $282.76	Professional		$282.76	$282.76	$282.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $220.51	Professional		$160.97	$160.97	$220.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $763.61	Facility		$319.00	$346.00	$763.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.25 / $254.54 / $610.88	Professional		$175.25	$254.54	$610.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.30 / $216.30 / $216.30	Facility		$216.30	$216.30	$216.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $216.30 / $259.56	Professional		$204.05	$216.30	$259.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $555.00	Facility		$220.51	$220.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $202.20 / $494.06	Professional		$160.97	$202.20	$494.06
United Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $203.63 / $305.44	Professional		$112.88	$203.63	$305.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $212.04	Facility		$204.05	$204.05	$212.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $204.05 / $216.79	Professional		$204.05	$204.05	$216.79