Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.62 / $159.41 / $295.08	Facility		$134.62	$159.41	$295.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $177.82 / $237.39	Professional		$134.62	$177.82	$237.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $156.38 / $502.62	Professional		$119.63	$156.38	$502.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $305.20 / $305.20	Facility		$283.83	$305.20	$305.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $305.20 / $305.20	Professional		$305.20	$305.20	$305.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $194.57 / $228.90	Professional		$194.57	$194.57	$228.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $366.32 / $824.22	Facility		$319.00	$366.32	$824.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $216.13 / $307.70 / $667.44	Professional		$216.13	$307.70	$667.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $233.99 / $305.20	Professional		$220.23	$233.99	$305.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $555.00	Facility		$228.90	$228.90	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $226.40 / $530.63	Professional		$194.57	$226.40	$530.63
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $211.15 / $329.69	Professional		$121.84	$211.15	$329.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $220.23 / $220.23 / $228.86	Facility		$220.23	$220.23	$228.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $220.23 / $220.23 / $233.99	Professional		$220.23	$220.23	$233.99