Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $152.72 / $282.69	Facility		$128.96	$152.72	$282.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $152.72 / $221.24	Professional		$123.81	$152.72	$221.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.91 / $357.93 / $701.82	Facility		$350.91	$357.93	$701.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $169.19 / $516.02	Professional		$169.19	$169.19	$516.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $271.89 / $292.37 / $292.37	Facility		$271.89	$292.37	$292.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $292.37 / $292.37 / $292.37	Professional		$292.37	$292.37	$292.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $177.64	Professional		$129.68	$129.68	$177.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $350.91 / $789.55	Facility		$319.00	$350.91	$789.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $252.66 / $631.64	Professional		$181.21	$252.66	$631.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.10 / $212.10 / $212.10	Facility		$212.10	$212.10	$212.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $212.10 / $254.52	Professional		$210.99	$212.10	$254.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $555.00	Facility		$177.64	$177.64	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $522.86	Professional		$129.68	$177.64	$522.86
United Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $200.41 / $321.73	Professional		$116.72	$200.41	$321.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.99 / $210.99 / $219.26	Facility		$210.99	$210.99	$219.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $210.99 / $224.16	Professional		$210.99	$210.99	$224.16