Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $175.97 / $2,883.90	Facility		$148.60	$175.97	$2,883.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $235.57 / $262.04	Professional		$148.60	$235.57	$262.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $172.64 / $554.82	Professional		$132.06	$172.64	$554.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $313.32 / $336.90 / $336.90	Facility		$313.32	$336.90	$336.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $336.90 / $336.90 / $336.90	Professional		$336.90	$336.90	$336.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $252.68	Professional		$194.10	$194.10	$252.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $404.37 / $909.83	Facility		$319.00	$404.37	$909.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $339.67 / $736.76	Professional		$238.58	$339.67	$736.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.11 / $258.30 / $336.90	Professional		$243.11	$258.30	$336.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $555.00	Facility		$252.68	$252.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $249.92 / $626.77	Professional		$194.10	$249.92	$626.77
United Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $242.62 / $363.93	Professional		$134.49	$242.62	$363.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $243.11 / $243.11 / $252.64	Facility		$243.11	$243.11	$252.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $243.11 / $243.11 / $258.30	Professional		$243.11	$243.11	$258.30