Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $512.03 / $859.73	Facility		$392.09	$512.03	$859.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $396.00 / $494.03	Professional		$392.08	$396.00	$494.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.67 / $313.67 / $392.09	Facility		$313.67	$313.67	$392.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $392.09 / $529.63	Professional		$391.23	$392.09	$529.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $391.43 / $391.43 / $411.00	Facility		$391.43	$391.43	$411.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $391.43 / $391.43	Professional		$391.43	$391.43	$391.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $383.87 / $416.93	Facility		$369.90	$383.87	$416.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $401.85	Professional		$392.09	$392.09	$401.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $425.38 / $832.28	Facility		$319.00	$425.38	$832.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $425.38 / $500.17	Professional		$340.31	$425.38	$500.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $406.89	Facility		$392.09	$392.09	$406.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $406.89	Professional		$392.09	$392.09	$406.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $369.90 / $392.09 / $554.28	Facility		$369.90	$392.09	$554.28
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $504.15	Professional		$392.09	$392.09	$504.15
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $471.86	Professional		$156.84	$392.09	$471.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $406.89 / $406.89 / $406.89	Facility		$406.89	$406.89	$406.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $406.89 / $406.89	Professional		$170.99	$406.89	$406.89