Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.57 / $175.94 / $325.67	Facility		$148.57	$175.94	$325.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $178.36 / $254.89	Professional		$148.57	$178.36	$254.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.30 / $412.39 / $808.60	Facility		$404.30	$412.39	$808.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.87 / $248.87 / $663.23	Professional		$248.87	$248.87	$663.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $313.25 / $336.83 / $336.83	Facility		$313.25	$336.83	$336.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $336.83 / $336.83 / $336.83	Professional		$336.83	$336.83	$336.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $267.94	Professional		$195.60	$195.60	$267.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $404.30 / $909.68	Facility		$319.00	$404.30	$909.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $299.18 / $727.74	Professional		$228.83	$299.18	$727.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $286.04 / $286.04 / $286.04	Facility		$286.04	$286.04	$286.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $258.25 / $336.83	Professional		$243.05	$258.25	$336.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $555.00	Facility		$267.94	$267.94	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $249.87 / $600.00	Professional		$195.60	$249.87	$600.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $242.58 / $369.78	Professional		$134.46	$242.58	$369.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $216.10 / $243.05 / $243.05	Facility		$216.10	$243.05	$243.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $243.05 / $243.05 / $286.04	Professional		$243.05	$243.05	$286.04