Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Facility		$182.18	$182.18	$184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $189.47	Professional		$182.18	$182.18	$189.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.17 / $182.18 / $207.76	Professional		$165.17	$182.18	$207.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.58 / $150.58 / $158.11	Facility		$150.58	$150.58	$158.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $150.58 / $150.58	Professional		$150.58	$150.58	$150.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $171.87 / $425.00	Facility		$171.87	$171.87	$425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $250.00 / $386.71	Facility		$197.65	$250.00	$386.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $197.65 / $245.94	Professional		$171.87	$197.65	$245.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $189.06	Facility		$182.18	$182.18	$189.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $189.06 / $189.06	Professional		$182.18	$189.06	$189.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $403.55 / $597.00	Facility		$171.87	$403.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $197.65	Professional		$182.18	$182.18	$197.65
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $278.74	Professional		$182.18	$182.18	$278.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $189.06 / $189.06 / $189.06	Facility		$189.06	$189.06	$189.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $189.06 / $189.06	Professional		$182.18	$189.06	$189.06