Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $532.54 / $873.02	Facility		$432.02	$532.54	$873.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $436.33 / $626.41	Professional		$432.02	$436.33	$626.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.62 / $345.62 / $432.02	Facility		$345.62	$345.62	$432.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.45 / $432.02 / $458.18	Professional		$297.45	$432.02	$458.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $414.12 / $414.12 / $434.83	Facility		$414.12	$414.12	$434.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $414.12 / $414.12	Professional		$414.12	$414.12	$414.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $438.53	Facility		$407.57	$407.57	$438.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $468.70 / $917.03	Facility		$319.00	$468.70	$917.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.70 / $468.70 / $623.23	Professional		$468.70	$468.70	$623.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $432.02 / $448.32	Facility		$432.02	$432.02	$448.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $448.32	Professional		$432.02	$432.02	$448.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $555.00	Facility		$407.57	$407.57	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $432.02 / $647.86	Professional		$31.00	$432.02	$647.86
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $637.04	Professional		$432.02	$432.02	$637.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $448.32 / $448.32 / $448.32	Facility		$448.32	$448.32	$448.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $432.02 / $448.32	Professional		$57.67	$432.02	$448.32