Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $192.50 / $356.33	Facility		$162.56	$192.50	$356.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $233.90 / $278.89	Professional		$162.56	$233.90	$278.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.37 / $451.22 / $884.74	Facility		$442.37	$451.22	$884.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.84 / $248.84 / $689.28	Professional		$248.84	$248.84	$689.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $342.75 / $368.55 / $368.55	Facility		$342.75	$368.55	$368.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $368.55 / $368.55 / $368.55	Professional		$368.55	$368.55	$368.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.52	Professional		$200.41	$200.41	$274.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $442.37 / $995.33	Facility		$319.00	$442.37	$995.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $228.42 / $331.78 / $796.27	Professional		$228.42	$331.78	$796.27
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 $212.10 / $265.94 / $317.20	Professional		$212.10	$265.94	$317.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $555.00	Facility		$274.52	$274.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $263.54 / $615.00	Professional		$200.41	$263.54	$615.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $265.42 / $405.55	Professional		$147.12	$265.42	$405.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $265.94 / $265.94 / $276.37	Facility		$265.94	$265.94	$276.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $265.94 / $282.57	Professional		$212.10	$265.94	$282.57