Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $499.61 / $900.94	Facility		$409.52	$499.61	$900.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $487.33	Professional		$422.89	$422.89	$487.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.31 / $338.31 / $422.89	Facility		$338.31	$338.31	$422.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.36 / $422.89 / $668.35	Professional		$411.36	$422.89	$668.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $322.70 / $322.70 / $338.85	Facility		$322.70	$322.70	$338.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $322.70 / $322.70	Professional		$322.70	$322.70	$322.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $398.96 / $703.90	Facility		$322.64	$398.96	$703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $458.80	Professional		$422.89	$422.89	$458.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $438.85 / $897.66	Facility		$319.00	$438.85	$897.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $438.85 / $438.85 / $558.54	Professional		$438.85	$438.85	$558.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $422.89 / $438.85	Facility		$422.89	$422.89	$438.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $438.85 / $438.85	Professional		$422.89	$438.85	$438.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $398.96 / $703.90	Facility		$322.64	$398.96	$703.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $508.30	Professional		$422.89	$422.89	$508.30
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $446.83 / $634.34	Professional		$422.89	$446.83	$634.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $438.85 / $438.85 / $438.85	Facility		$438.85	$438.85	$438.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $438.85 / $438.85	Professional		$422.89	$438.85	$438.85