Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $461.62 / $461.62	Facility		$461.62	$461.62	$461.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $461.62 / $470.85	Professional		$461.62	$461.62	$470.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.78 / $383.78 / $479.72	Facility		$383.78	$383.78	$479.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.22 / $452.57 / $521.38	Professional		$364.22	$452.57	$521.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $356.33 / $356.33 / $356.33	Facility		$356.33	$356.33	$356.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $356.33 / $356.33 / $356.33	Professional		$356.33	$356.33	$356.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.94 / $487.46 / $506.88	Facility		$363.94	$487.46	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $488.77 / $1,018.28	Facility		$319.00	$488.77	$1,018.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $488.77 / $828.20	Professional		$452.57	$488.77	$828.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.62 / $479.72 / $479.72	Facility		$461.62	$479.72	$479.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $479.72 / $479.72	Professional		$461.62	$479.72	$479.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $473.26 / $487.46 / $597.00	Facility		$473.26	$487.46	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $506.88 / $689.71	Professional		$35.00	$506.88	$689.71
United Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $543.08 / $809.22	Professional		$452.57	$543.08	$809.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $461.62 / $461.62	Facility		$130.26	$461.62	$461.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $203.55 / $479.72	Professional		$130.26	$203.55	$479.72