Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $168.93 / $312.70	Facility		$142.65	$168.93	$312.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $206.27 / $245.38	Professional		$142.65	$206.27	$245.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $395.95 / $776.38	Facility		$388.19	$395.95	$776.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $258.69 / $652.76	Professional		$258.69	$258.69	$652.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $300.77 / $323.42 / $323.42	Facility		$300.77	$323.42	$323.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $323.42 / $323.42 / $323.42	Professional		$323.42	$323.42	$323.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $277.45	Professional		$202.54	$202.54	$277.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $388.19 / $873.43	Facility		$319.00	$388.19	$873.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $291.14 / $698.74	Professional		$200.45	$291.14	$698.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $182.44 / $182.44	Facility		$182.44	$182.44	$182.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $298.42 / $298.42	Professional		$182.44	$298.42	$298.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $555.00	Facility		$277.45	$277.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $239.92 / $578.40	Professional		$202.54	$239.92	$578.40
United Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $249.63 / $355.05	Professional		$129.11	$249.63	$355.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $298.42 / $298.42	Facility		$298.42	$298.42	$298.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $298.42 / $298.42	Professional		$182.44	$298.42	$298.42