Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $158.36 / $293.14	Facility		$133.72	$158.36	$293.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $158.36 / $229.43	Professional		$133.72	$158.36	$229.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.91 / $371.19 / $727.82	Facility		$363.91	$371.19	$727.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $166.74 / $531.57	Professional		$166.74	$166.74	$531.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.97 / $303.19 / $303.19	Facility		$281.97	$303.19	$303.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $303.19 / $303.19 / $303.19	Professional		$303.19	$303.19	$303.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $170.54	Professional		$124.49	$124.49	$170.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $363.91 / $818.80	Facility		$319.00	$363.91	$818.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $262.02 / $655.04	Professional		$187.91	$262.02	$655.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.73 / $224.73 / $224.73	Facility		$224.73	$224.73	$224.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.45 / $223.60 / $269.68	Professional		$210.45	$223.60	$269.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $555.00	Facility		$170.54	$170.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $462.66	Professional		$124.49	$170.54	$462.66
United Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $204.90 / $332.84	Professional		$121.03	$204.90	$332.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $210.45 / $227.36	Facility		$210.45	$210.45	$227.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.45 / $210.45 / $224.73	Professional		$210.45	$210.45	$224.73