Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.46 / $188.83 / $349.52	Facility		$159.46	$188.83	$349.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $191.44 / $273.56	Professional		$159.46	$191.44	$273.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $442.58 / $867.80	Facility		$433.90	$442.58	$867.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $267.12 / $711.87	Professional		$267.12	$267.12	$711.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $336.20 / $361.50 / $361.50	Facility		$336.20	$361.50	$361.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $361.50 / $361.50	Professional		$361.50	$361.50	$361.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $286.80	Professional		$209.36	$209.36	$286.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $433.90 / $976.28	Facility		$319.00	$433.90	$976.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.59 / $321.08 / $781.02	Professional		$245.59	$321.08	$781.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.99 / $306.99 / $306.99	Facility		$306.99	$306.99	$306.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $277.18 / $361.50	Professional		$260.87	$277.18	$361.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $555.00	Facility		$286.80	$286.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $265.95 / $672.55	Professional		$209.36	$265.95	$672.55
United Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $246.44 / $373.99	Professional		$144.31	$246.44	$373.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $231.94 / $260.87 / $260.87	Facility		$231.94	$260.87	$260.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $260.87 / $306.99	Professional		$260.87	$260.87	$306.99