Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.18 / $793.84 / $1,424.84	Facility		$412.18	$793.84	$1,424.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $508.87 / $681.00	Professional		$273.88	$508.87	$681.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $508.87 / $1,323.06	Facility		$508.87	$508.87	$1,323.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $305.32 / $1,087.88	Professional		$203.55	$305.32	$1,087.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $305.32 / $508.87 / $508.87	Facility		$305.32	$508.87	$508.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $371.48 / $508.87 / $508.87	Professional		$371.48	$508.87	$508.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.15 / $1,075.00 / $1,358.03	Facility		$622.15	$1,075.00	$1,358.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.51 / $664.46 / $1,642.58	Professional		$308.51	$664.46	$1,642.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $330.36 / $508.87 / $1,144.96	Facility		$330.36	$508.87	$1,144.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $356.21 / $530.90 / $931.23	Professional		$356.21	$530.90	$931.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.09 / $413.09 / $413.09	Facility		$413.09	$413.09	$413.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.09 / $495.71 / $907.60	Professional		$413.09	$495.71	$907.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,075.00 / $1,358.03	Facility		$254.50	$1,075.00	$1,358.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $653.29 / $1,526.61	Professional		$309.12	$653.29	$1,526.61
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $305.32 / $771.23	Professional		$213.73	$305.32	$771.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $539.40 / $539.40 / $664.67	Facility		$539.40	$539.40	$664.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $432.54 / $527.61 / $664.67	Professional		$432.54	$527.61	$664.67