Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.94 / $371.93 / $624.40	Facility		$272.94	$371.93	$624.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.94 / $337.92 / $458.55	Professional		$272.94	$337.92	$458.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.42 / $294.83 / $604.41	Professional		$237.42	$294.83	$604.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $496.14 / $496.14 / $496.14	Facility		$496.14	$496.14	$496.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $496.14 / $496.14 / $496.14	Professional		$496.14	$496.14	$496.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.18 / $442.26 / $991.96	Professional		$293.18	$442.26	$991.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $332.00 / $541.33	Facility		$231.00	$332.00	$541.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.99 / $469.00 / $741.95	Professional		$345.99	$469.00	$741.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.08 / $328.08 / $372.65	Facility		$328.08	$328.08	$372.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $439.62 / $741.17	Professional		$266.13	$439.62	$741.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $395.08 / $395.08 / $395.08	Facility		$395.08	$395.08	$395.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.18 / $427.88 / $863.90	Professional		$293.18	$427.88	$863.90
United Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $355.62 / $737.78	Professional		$269.07	$355.62	$737.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $328.08 / $372.65 / $771.46	Facility		$328.08	$372.65	$771.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $439.62 / $867.44	Professional		$266.13	$439.62	$867.44