Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $145.94 / $270.16	Facility		$123.25	$145.94	$270.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $145.94 / $211.44	Professional		$123.25	$145.94	$211.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $342.09 / $670.76	Facility		$335.38	$342.09	$670.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.72 / $183.72 / $511.98	Professional		$183.72	$183.72	$511.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $259.86 / $279.42 / $279.42	Facility		$259.86	$279.42	$279.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $279.42 / $279.42 / $279.42	Professional		$279.42	$279.42	$279.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $164.75 / $225.68	Professional		$164.75	$164.75	$225.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $346.00 / $754.61	Facility		$319.00	$346.00	$754.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $247.14 / $603.67	Professional		$173.18	$247.14	$603.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.11 / $213.11 / $213.11	Facility		$213.11	$213.11	$213.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $206.07 / $255.73	Professional		$193.95	$206.07	$255.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $555.00	Facility		$225.68	$225.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $199.82 / $499.72	Professional		$164.75	$199.82	$499.72
United Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $198.25 / $301.95	Professional		$111.54	$198.25	$301.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.95 / $193.95 / $209.53	Facility		$193.95	$193.95	$209.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $193.95 / $213.11	Professional		$193.95	$193.95	$213.11