Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $587.52 / $963.14	Facility		$481.57	$587.52	$963.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $650.12	Professional		$484.14	$484.14	$650.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.31 / $387.31 / $484.14	Facility		$387.31	$387.31	$484.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.07 / $484.14 / $631.73	Professional		$426.07	$484.14	$631.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.15 / $380.15 / $399.16	Facility		$380.15	$380.15	$399.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.15 / $380.15 / $380.15	Professional		$380.15	$380.15	$380.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.98 / $456.73 / $484.14	Facility		$383.98	$456.73	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $476.95 / $1,027.64	Facility		$319.00	$476.95	$1,027.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $476.95 / $476.95 / $625.72	Professional		$476.95	$476.95	$625.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $484.14 / $502.41	Facility		$484.14	$484.14	$502.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $502.41	Professional		$484.14	$484.14	$502.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $383.98 / $456.73 / $555.00	Facility		$383.98	$456.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $469.73 / $484.14 / $643.08	Professional		$469.73	$484.14	$643.08
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $678.44	Professional		$484.14	$484.14	$678.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $502.41 / $502.41 / $502.41	Facility		$502.41	$502.41	$502.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $502.41	Professional		$484.14	$484.14	$502.41