Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.90 / $182.25 / $337.35	Facility		$153.90	$182.25	$337.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $209.74 / $264.02	Professional		$153.90	$209.74	$264.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $427.17 / $837.58	Facility		$418.79	$427.17	$837.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $257.30 / $685.70	Professional		$257.30	$257.30	$685.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $324.49 / $348.91 / $348.91	Facility		$324.49	$348.91	$348.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $348.91 / $348.91 / $348.91	Professional		$348.91	$348.91	$348.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $327.20	Professional		$238.86	$238.86	$327.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $418.79 / $942.28	Facility		$319.00	$418.79	$942.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $314.08 / $753.82	Professional		$216.25	$314.08	$753.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.50 / $252.50 / $252.50	Facility		$252.50	$252.50	$252.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $252.50 / $303.00	Professional		$251.78	$252.50	$303.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $555.00	Facility		$327.20	$327.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $258.83 / $633.90	Professional		$238.86	$258.83	$633.90
United Facility/Professional Facility Modifier Low / Median / High Price $157.76 / $276.08 / $314.79	Facility		$157.76	$276.08	$314.79
United Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $251.27 / $376.91	Professional		$139.28	$251.27	$376.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.78 / $251.78 / $291.86	Facility		$251.78	$251.78	$291.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $251.78 / $267.52	Professional		$251.78	$251.78	$267.52