Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.41 / $129.56 / $239.83	Facility		$109.41	$129.56	$239.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $131.37 / $187.71	Professional		$109.41	$131.37	$187.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.74 / $303.69 / $595.48	Facility		$297.74	$303.69	$595.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $164.70 / $461.16	Professional		$164.70	$164.70	$461.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $230.70 / $248.06 / $248.06	Facility		$230.70	$248.06	$248.06
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $248.06 / $248.06	Professional		$248.06	$248.06	$248.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $170.29	Professional		$144.75	$144.75	$170.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $297.74 / $342.40 / $669.92	Facility		$297.74	$342.40	$669.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $220.33 / $535.92	Professional		$160.74	$220.33	$535.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.93 / $200.93 / $200.93	Facility		$200.93	$200.93	$200.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $190.19 / $241.12	Professional		$178.99	$190.19	$241.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $555.00	Facility		$170.29	$170.29	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $442.03	Professional		$144.75	$170.29	$442.03
United Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $180.70 / $272.32	Professional		$99.02	$180.70	$272.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $178.99 / $178.99 / $198.94	Facility		$178.99	$178.99	$198.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $178.99 / $200.93	Professional		$178.99	$178.99	$200.93