Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $607.32 / $995.60	Facility		$497.80	$607.32	$995.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $502.77 / $684.09	Professional		$498.14	$502.77	$684.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.50 / $398.50 / $498.13	Facility		$398.50	$398.50	$498.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.16 / $498.14 / $498.14	Professional		$463.16	$498.14	$498.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $490.95 / $490.95 / $515.50	Facility		$490.95	$490.95	$515.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $490.95 / $490.95 / $490.95	Professional		$490.95	$490.95	$490.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $520.85	Facility		$469.94	$469.94	$520.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $581.37 / $1,057.36	Facility		$319.00	$581.37	$1,057.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $581.37 / $581.37 / $668.58	Professional		$581.37	$581.37	$668.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $498.14 / $516.92	Facility		$498.14	$498.14	$516.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $516.92	Professional		$498.14	$498.14	$516.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $597.00	Facility		$469.94	$469.94	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $711.88	Professional		$498.14	$498.14	$711.88
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $720.13	Professional		$498.14	$498.14	$720.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $516.92 / $516.92 / $516.92	Facility		$516.92	$516.92	$516.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $516.92	Professional		$498.14	$498.14	$516.92