Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.35 / $160.28 / $296.69	Facility		$135.35	$160.28	$296.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $160.28 / $232.20	Professional		$135.35	$160.28	$232.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $157.25 / $505.36	Professional		$120.29	$157.25	$505.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $285.37 / $306.85 / $306.85	Facility		$285.37	$306.85	$306.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $306.85 / $306.85 / $306.85	Professional		$306.85	$306.85	$306.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $368.30 / $828.68	Facility		$319.00	$368.30	$828.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $276.23 / $671.04	Professional		$217.30	$276.23	$671.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $235.27 / $306.85	Professional		$221.43	$235.27	$306.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $555.00	Facility		$302.83	$302.83	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $257.41 / $544.22	Professional		$227.63	$257.41	$544.22
United Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $224.66 / $256.16	Facility		$128.37	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $220.98 / $336.86	Professional		$122.50	$220.98	$336.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $221.43 / $221.43 / $230.11	Facility		$221.43	$221.43	$230.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $221.43 / $221.43 / $235.27	Professional		$221.43	$221.43	$235.27