Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $128.99 / $238.76	Facility		$108.92	$128.99	$238.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $128.99 / $186.87	Professional		$97.13	$128.99	$186.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.39 / $302.33 / $592.79	Facility		$296.39	$302.33	$592.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $135.18 / $432.97	Professional		$135.18	$135.18	$432.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $229.65 / $246.94 / $246.94	Facility		$229.65	$246.94	$246.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $246.94 / $246.94 / $246.94	Professional		$246.94	$246.94	$246.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $182.31	Professional		$133.09	$133.09	$182.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $296.39 / $332.00 / $666.90	Facility		$296.39	$332.00	$666.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.05 / $213.41 / $533.52	Professional		$153.05	$213.41	$533.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $176.75	Facility		$176.75	$176.75	$176.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $178.20 / $212.54	Professional		$176.75	$178.20	$212.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $555.00	Facility		$182.31	$182.31	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $176.58 / $408.28	Professional		$133.09	$176.58	$408.28
United Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $166.36 / $255.47	Professional		$98.58	$166.36	$255.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $178.20 / $185.18	Facility		$178.20	$178.20	$185.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $178.20 / $189.34	Professional		$176.75	$178.20	$189.34