Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $707.59 / $1,159.98	Facility		$579.97	$707.59	$1,159.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $782.99	Professional		$579.97	$579.97	$782.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.97 / $463.97 / $579.96	Facility		$463.97	$463.97	$579.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.72 / $579.97 / $730.74	Professional		$530.72	$579.97	$730.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $504.13 / $504.13 / $529.34	Facility		$504.13	$504.13	$529.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $504.13 / $504.13 / $504.13	Professional		$504.13	$504.13	$504.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.42 / $547.14 / $579.97	Facility		$522.42	$547.14	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $601.85 / $1,231.07	Facility		$319.00	$601.85	$1,231.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $601.85 / $601.85 / $749.58	Professional		$601.85	$601.85	$749.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $579.97 / $601.85	Facility		$579.97	$579.97	$601.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $601.85	Professional		$579.97	$579.97	$601.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $522.42 / $547.14 / $597.00	Facility		$522.42	$547.14	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $563.10 / $579.97 / $782.03	Professional		$563.10	$579.97	$782.03
United Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $747.84	Professional		$579.97	$579.97	$747.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $601.85 / $601.85 / $601.85	Facility		$601.85	$601.85	$601.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $301.17 / $579.97 / $601.85	Professional		$301.17	$579.97	$601.85