Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $374.30 / $613.60	Facility		$306.80	$374.30	$613.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $414.18	Professional		$308.68	$308.68	$414.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.94 / $246.94 / $308.68	Facility		$246.94	$246.94	$308.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $308.68 / $308.68	Professional		$243.50	$308.68	$308.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $250.30 / $262.82	Facility		$250.30	$250.30	$262.82
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $250.30 / $250.30	Professional		$250.30	$250.30	$250.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.29 / $291.20 / $308.68	Facility		$260.29	$291.20	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $334.89 / $655.22	Facility		$291.20	$334.89	$655.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $334.89 / $334.89 / $398.96	Professional		$334.89	$334.89	$398.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $308.68 / $320.33	Facility		$308.68	$308.68	$320.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $320.33	Professional		$308.68	$308.68	$320.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $260.29 / $291.20 / $555.00	Facility		$260.29	$291.20	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $308.68 / $407.32	Professional		$305.33	$308.68	$407.32
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $446.24	Professional		$308.68	$308.68	$446.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $320.33 / $320.33 / $320.33	Facility		$320.33	$320.33	$320.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $320.33	Professional		$308.68	$308.68	$320.33