Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.58 / $184.01 / $227.51	Facility		$145.58	$184.01	$227.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $190.36 / $282.55	Professional		$157.56	$190.36	$282.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.15 / $335.15 / $893.17	Professional		$335.15	$335.15	$893.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.39 / $491.82 / $491.82	Facility		$457.39	$491.82	$491.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $491.82 / $491.82 / $491.82	Professional		$491.82	$491.82	$491.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $484.55 / $886.73	Facility		$319.00	$484.55	$886.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.07 / $363.41 / $882.85	Professional		$280.07	$363.41	$882.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.59 / $185.59 / $185.59	Facility		$185.59	$185.59	$185.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $361.57 / $384.17	Professional		$185.59	$361.57	$384.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $555.00	Facility		$409.07	$409.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $219.89 / $435.06	Professional		$140.19	$219.89	$435.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $361.57 / $361.57 / $379.17	Facility		$361.57	$361.57	$379.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $361.57 / $384.17	Professional		$185.59	$361.57	$384.17