Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $681.44 / $1,117.11	Facility		$558.46	$681.44	$1,117.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $754.06	Professional		$558.46	$558.46	$754.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.77 / $446.77 / $558.46	Facility		$446.77	$446.77	$558.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.91 / $558.46 / $956.80	Professional		$542.91	$558.46	$956.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $542.94 / $542.94 / $570.09	Facility		$542.94	$542.94	$570.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $542.94 / $542.94 / $542.94	Professional		$542.94	$542.94	$542.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $575.98	Facility		$526.85	$526.85	$575.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $605.87 / $1,185.41	Facility		$319.00	$605.87	$1,185.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $605.87 / $605.87 / $721.78	Professional		$605.87	$605.87	$721.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $558.46 / $568.99	Facility		$558.46	$558.46	$568.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $568.99	Professional		$558.46	$558.46	$568.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $597.00	Facility		$526.85	$526.85	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $787.23	Professional		$558.46	$558.46	$787.23
United Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $782.59	Professional		$558.46	$558.46	$782.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $568.99 / $568.99 / $568.99	Facility		$568.99	$568.99	$568.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $480.79 / $558.46 / $568.99	Professional		$480.79	$558.46	$568.99