Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.58 / $199.63 / $369.53	Facility		$168.58	$199.63	$369.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $202.37 / $289.20	Professional		$168.58	$202.37	$289.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.73 / $467.90 / $917.46	Facility		$458.73	$467.90	$917.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.38 / $282.38 / $752.54	Professional		$282.38	$282.38	$752.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $355.44 / $382.19 / $382.19	Facility		$355.44	$382.19	$382.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $382.19 / $382.19	Professional		$382.19	$382.19	$382.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $294.27	Professional		$214.82	$214.82	$294.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $458.73 / $1,032.14	Facility		$319.00	$458.73	$1,032.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $339.46 / $825.71	Professional		$236.88	$339.46	$825.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.62 / $278.62 / $278.62	Facility		$278.62	$278.62	$278.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.29 / $278.62 / $334.34	Professional		$265.29	$278.62	$334.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $555.00	Facility		$294.27	$294.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $283.52 / $681.09	Professional		$214.82	$283.52	$681.09
United Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $276.79 / $315.60	Facility		$158.16	$276.79	$315.60
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $276.79 / $419.86	Professional		$152.57	$276.79	$419.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $265.29 / $265.29 / $306.51	Facility		$265.29	$265.29	$306.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $265.29 / $265.29 / $281.86	Professional		$265.29	$265.29	$281.86