Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.44 / $190.00 / $351.70	Facility		$160.44	$190.00	$351.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $192.59 / $275.26	Professional		$160.44	$192.59	$275.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.60 / $445.33 / $873.20	Facility		$436.60	$445.33	$873.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $680.40	Professional		$243.00	$243.00	$680.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.30 / $363.76 / $363.76	Facility		$338.30	$363.76	$363.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.76 / $363.76 / $363.76	Professional		$363.76	$363.76	$363.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $318.35	Professional		$232.40	$232.40	$318.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $436.60 / $982.35	Facility		$319.00	$436.60	$982.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.13 / $323.08 / $785.88	Professional		$247.13	$323.08	$785.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.91 / $308.91 / $308.91	Facility		$308.91	$308.91	$308.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.48 / $278.89 / $363.76	Professional		$262.48	$278.89	$363.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $555.00	Facility		$318.35	$318.35	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $269.83 / $648.28	Professional		$232.40	$269.83	$648.28
United Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $247.96 / $376.32	Professional		$145.21	$247.96	$376.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $233.38 / $262.48 / $262.48	Facility		$233.38	$262.48	$262.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $262.48 / $262.48 / $308.91	Professional		$262.48	$262.48	$308.91