Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.73 / $195.07 / $361.09	Facility		$164.73	$195.07	$361.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $195.07 / $282.61	Professional		$151.29	$195.07	$282.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $457.23 / $896.52	Facility		$448.26	$457.23	$896.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $205.41 / $654.79	Professional		$205.41	$205.41	$654.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $347.33 / $373.47 / $373.47	Facility		$347.33	$373.47	$373.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $373.47 / $373.47 / $373.47	Professional		$373.47	$373.47	$373.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $244.07	Professional		$178.17	$178.17	$244.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $448.26 / $1,008.59	Facility		$319.00	$448.26	$1,008.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $231.47 / $322.75 / $806.87	Professional		$231.47	$322.75	$806.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $303.00 / $303.00	Facility		$303.00	$303.00	$303.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $286.35 / $363.60	Professional		$269.50	$286.35	$363.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $555.00	Facility		$244.07	$244.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $244.07 / $589.22	Professional		$178.17	$244.07	$589.22
United Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $448.26 / $448.26	Facility		$448.26	$448.26	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $242.27 / $409.99	Professional		$149.09	$242.27	$409.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $269.50 / $269.50 / $280.07	Facility		$269.50	$269.50	$280.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $269.50 / $303.00	Professional		$269.50	$269.50	$303.00