Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $438.09 / $70,024.92	Facility		$359.09	$438.09	$70,024.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $359.19 / $827.61	Professional		$359.18	$359.19	$827.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.35 / $287.35 / $359.19	Facility		$287.35	$287.35	$359.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $359.19 / $359.19	Professional		$328.00	$359.19	$359.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $315.88 / $315.88 / $331.67	Facility		$315.88	$315.88	$331.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $315.88 / $315.88 / $315.88	Professional		$315.88	$315.88	$315.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.12 / $338.86 / $359.19	Facility		$335.12	$338.86	$359.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $372.75 / $762.44	Facility		$319.00	$372.75	$762.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $372.75 / $464.24	Professional		$372.75	$372.75	$464.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $359.19 / $372.75	Facility		$359.19	$359.19	$372.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $372.75	Professional		$359.19	$359.19	$372.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $335.12 / $338.86 / $555.00	Facility		$335.12	$338.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $359.19 / $475.60	Professional		$357.52	$359.19	$475.60
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $503.34	Professional		$359.19	$359.19	$503.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $372.75 / $372.75 / $372.75	Facility		$372.75	$372.75	$372.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $372.75	Professional		$359.19	$359.19	$372.75