Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $130.63 / $241.81	Facility		$110.31	$130.63	$241.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $130.63 / $189.25	Professional		$98.37	$130.63	$189.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.18 / $306.18 / $600.36	Facility		$300.18	$306.18	$600.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $438.49	Professional		$136.91	$136.91	$438.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $232.59 / $250.10 / $250.10	Facility		$232.59	$250.10	$250.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $250.10 / $250.10	Professional		$250.10	$250.10	$250.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.18 / $332.00 / $675.41	Facility		$300.18	$332.00	$675.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $216.13 / $540.32	Professional		$155.01	$216.13	$540.32
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.94 / $195.94 / $195.94	Facility		$195.94	$195.94	$195.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $191.75 / $235.13	Professional		$180.47	$191.75	$235.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $555.00	Facility		$194.51	$194.51	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $178.84 / $397.03	Professional		$141.99	$178.84	$397.03
United Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $161.31 / $258.74	Professional		$99.84	$161.31	$258.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $180.47 / $187.54	Facility		$180.47	$180.47	$187.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $180.47 / $195.94	Professional		$180.47	$180.47	$195.94