Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.08 / $730.08 / $1,310.40	Facility		$379.08	$730.08	$1,310.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.06 / $468.00 / $1,500.00	Professional		$255.06	$468.00	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $1,216.80	Facility		$468.00	$468.00	$1,216.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $270.89 / $1,067.04	Professional		$187.20	$270.89	$1,067.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $468.00 / $468.00	Facility		$280.80	$468.00	$468.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $468.00 / $468.00	Professional		$341.64	$468.00	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $947.58 / $1,214.23	Facility		$561.60	$947.58	$1,214.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $607.41 / $1,510.77	Professional		$282.02	$607.41	$1,510.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $468.00 / $1,053.00	Facility		$332.00	$468.00	$1,053.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $491.40 / $856.44	Professional		$327.60	$491.40	$856.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $444.60 / $834.70	Professional		$374.40	$444.60	$834.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $988.65 / $1,214.23	Facility		$254.50	$988.65	$1,214.23
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $585.00 / $1,404.00	Professional		$284.13	$585.00	$1,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $280.80 / $702.26	Professional		$196.56	$280.80	$702.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.08 / $496.08 / $606.14	Facility		$496.08	$496.08	$606.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $468.00 / $641.63	Professional		$397.80	$468.00	$641.63