Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.79 / $495.98 / $526.98	Facility		$427.79	$495.98	$526.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.79 / $514.58 / $526.98	Professional		$427.79	$514.58	$526.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.74 / $214.74 / $268.42	Facility		$214.74	$214.74	$268.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $516.65 / $516.65	Professional		$480.00	$516.65	$516.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.29 / $519.41 / $526.98	Facility		$504.29	$519.41	$526.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $588.98 / $1,325.21	Facility		$319.00	$588.98	$1,325.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $447.93 / $526.98 / $526.98	Professional		$447.93	$526.98	$526.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $547.65 / $547.65	Facility		$526.98	$547.65	$547.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $547.65 / $547.65	Professional		$526.98	$547.65	$547.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $519.41 / $519.41 / $597.00	Facility		$519.41	$519.41	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $724.00	Professional		$516.65	$516.65	$724.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Facility		$526.98	$526.98	$526.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $547.65	Professional		$526.98	$526.98	$547.65