Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $459.31 / $835.79	Facility		$376.48	$459.31	$835.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $377.52 / $456.29	Professional		$377.51	$377.52	$456.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.02 / $302.02 / $377.52	Facility		$302.02	$302.02	$377.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.36 / $377.52 / $482.41	Professional		$357.36	$377.52	$482.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $321.67 / $321.67 / $337.75	Facility		$321.67	$321.67	$337.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $321.67 / $321.67 / $321.67	Professional		$321.67	$321.67	$321.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.81 / $356.15 / $377.52	Facility		$325.81	$356.15	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $391.77 / $801.34	Facility		$319.00	$391.77	$801.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $391.77 / $487.93	Professional		$391.77	$391.77	$487.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $377.52 / $384.64	Facility		$377.52	$377.52	$384.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $384.64	Professional		$377.52	$377.52	$384.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $325.81 / $356.15 / $555.00	Facility		$325.81	$356.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $369.97 / $377.52 / $532.54	Professional		$369.97	$377.52	$532.54
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $400.17 / $505.88	Professional		$377.52	$400.17	$505.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $384.64 / $384.64 / $384.64	Facility		$384.64	$384.64	$384.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $377.52 / $384.64	Professional		$182.29	$377.52	$384.64