Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $650.08 / $1,413.44	Facility		$529.38	$650.08	$1,413.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $551.75 / $714.66	Professional		$546.29	$551.75	$714.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.03 / $437.03 / $546.29	Facility		$437.03	$437.03	$546.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $1,248.92	Professional		$546.29	$546.29	$1,248.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $567.91 / $567.91 / $596.32	Facility		$567.91	$567.91	$596.32
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $567.91 / $567.91 / $567.91	Professional		$567.91	$567.91	$567.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $515.37 / $661.24	Facility		$515.37	$515.37	$661.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $592.67 / $1,159.58	Facility		$319.00	$592.67	$1,159.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $592.67 / $592.67 / $1,089.08	Professional		$592.67	$592.67	$1,089.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $566.91	Facility		$546.29	$546.29	$566.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $566.91	Professional		$546.29	$546.29	$566.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $515.37 / $661.24	Facility		$515.37	$515.37	$661.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $803.58	Professional		$546.29	$546.29	$803.58
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $855.91	Professional		$546.29	$546.29	$855.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $566.91 / $566.91 / $566.91	Facility		$566.91	$566.91	$566.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $566.91 / $804.18	Professional		$546.29	$566.91	$804.18