Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $490.08 / $735.12	Facility		$490.08	$490.08	$735.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.69 / $490.08 / $520.71	Professional		$422.69	$490.08	$520.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.93 / $431.93 / $539.91	Facility		$431.93	$431.93	$539.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $510.50 / $510.50 / $561.54	Facility		$510.50	$510.50	$561.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $552.41 / $552.41	Facility		$520.71	$552.41	$552.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $843.55	Facility		$520.71	$520.71	$843.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $598.82	Professional		$520.71	$520.71	$598.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $541.13 / $541.13	Facility		$520.71	$541.13	$541.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $541.13 / $541.13	Professional		$520.71	$541.13	$541.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $552.41 / $597.00	Facility		$520.71	$552.41	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $778.00	Professional		$520.71	$520.71	$778.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $752.77	Professional		$510.50	$510.50	$752.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $541.13	Professional		$520.71	$520.71	$541.13