Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.71 / $157.16 / $290.91	Facility		$132.71	$157.16	$290.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $159.32 / $227.68	Professional		$132.71	$159.32	$227.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $368.35 / $722.26	Facility		$361.13	$368.35	$722.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.31 / $222.31 / $592.45	Professional		$222.31	$222.31	$592.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $279.82 / $300.88 / $300.88	Facility		$279.82	$300.88	$300.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $300.88 / $300.88 / $300.88	Professional		$300.88	$300.88	$300.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $239.35	Professional		$174.73	$174.73	$239.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $361.13 / $812.54	Facility		$319.00	$361.13	$812.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $267.24 / $650.03	Professional		$204.41	$267.24	$650.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.51 / $255.51 / $255.51	Facility		$255.51	$255.51	$255.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $230.69 / $300.88	Professional		$217.12	$230.69	$300.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $555.00	Facility		$239.35	$239.35	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $221.35 / $559.75	Professional		$174.73	$221.35	$559.75
United Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $216.68 / $325.16	Professional		$120.11	$216.68	$325.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $217.12 / $217.12	Facility		$193.03	$217.12	$217.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $217.12 / $255.51	Professional		$217.12	$217.12	$255.51