Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.99 / $202.48 / $374.81	Facility		$170.99	$202.48	$374.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $208.36 / $293.33	Professional		$170.99	$208.36	$293.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.29 / $474.60 / $930.58	Facility		$465.29	$474.60	$930.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.06 / $247.06 / $717.15	Professional		$247.06	$247.06	$717.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $360.51 / $387.65 / $387.65	Facility		$360.51	$387.65	$387.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $387.65 / $387.65 / $387.65	Professional		$387.65	$387.65	$387.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $465.29 / $1,046.90	Facility		$319.00	$465.29	$1,046.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $335.01 / $837.52	Professional		$242.40	$335.01	$837.52
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 $279.74 / $297.22 / $363.60	Professional		$279.74	$297.22	$363.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $586.13	Facility		$280.67	$280.67	$586.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $277.20 / $690.94	Professional		$204.89	$277.20	$690.94
United Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $270.24 / $418.76	Professional		$154.75	$270.24	$418.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $279.74 / $279.74 / $290.70	Facility		$279.74	$279.74	$290.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $279.74 / $279.74 / $303.00	Professional		$279.74	$279.74	$303.00