Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $649.75 / $1,065.16	Facility		$529.89	$649.75	$1,065.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $551.08 / $727.69	Professional		$529.89	$551.08	$727.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.91 / $423.91 / $529.89	Facility		$423.91	$423.91	$529.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.27 / $529.89 / $535.61	Professional		$529.27	$529.89	$535.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $518.47 / $518.47 / $544.39	Facility		$518.47	$518.47	$544.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $518.47 / $518.47 / $518.47	Professional		$518.47	$518.47	$518.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $499.90 / $532.59	Facility		$499.90	$499.90	$532.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $499.90 / $1,124.78	Facility		$319.00	$499.90	$1,124.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $499.90 / $499.90 / $684.86	Professional		$499.90	$499.90	$684.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $529.89 / $549.88	Facility		$529.89	$529.89	$549.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $549.88	Professional		$529.89	$529.89	$549.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $499.90 / $597.00	Facility		$499.90	$499.90	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $767.05	Professional		$529.89	$529.89	$767.05
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $742.55	Professional		$529.89	$529.89	$742.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $549.88 / $549.88 / $549.88	Facility		$549.88	$549.88	$549.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $549.88	Professional		$529.89	$529.89	$549.88