Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.14 / $682.14 / $1,023.21	Facility		$682.14	$682.14	$1,023.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.34 / $682.14 / $724.77	Professional		$588.34	$682.14	$724.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.44 / $95.44 / $119.30	Facility		$95.44	$95.44	$119.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.07 / $710.56 / $710.56	Professional		$514.07	$710.56	$710.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $445.49 / $445.49 / $490.04	Facility		$445.49	$445.49	$490.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $445.49 / $445.49 / $445.49	Professional		$445.49	$445.49	$445.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.88 / $126.57 / $724.77	Facility		$122.88	$126.57	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $690.66 / $690.66 / $1,118.86	Facility		$690.66	$690.66	$1,118.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $833.49	Professional		$724.77	$724.77	$833.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.56 / $710.56 / $724.77	Facility		$710.56	$710.56	$724.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $724.77	Professional		$710.56	$710.56	$724.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $126.57 / $724.77	Facility		$126.57	$126.57	$724.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $1,061.67	Professional		$724.77	$724.77	$1,061.67
United Facility/Professional Professional Modifier Low / Median / High Price $589.83 / $710.56 / $1,027.21	Professional		$589.83	$710.56	$1,027.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $710.56 / $724.77	Professional		$157.41	$710.56	$724.77