Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $465.60 / $763.28	Facility		$381.64	$465.60	$763.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $515.21	Professional		$384.85	$384.85	$515.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.88 / $307.88 / $384.85	Facility		$307.88	$307.88	$384.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $450.56	Professional		$384.85	$384.85	$450.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $362.31 / $362.31 / $380.43	Facility		$362.31	$362.31	$380.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $362.31 / $362.31 / $362.31	Professional		$362.31	$362.31	$362.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $363.06 / $396.80	Facility		$363.06	$363.06	$396.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $417.52 / $816.89	Facility		$319.00	$417.52	$816.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $417.52 / $417.52 / $497.39	Professional		$417.52	$417.52	$497.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $384.85 / $392.11	Facility		$384.85	$384.85	$392.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $392.11	Professional		$384.85	$384.85	$392.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $363.06 / $555.00	Facility		$363.06	$363.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $544.71	Professional		$384.85	$384.85	$544.71
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $407.94 / $523.82	Professional		$384.85	$407.94	$523.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $392.11 / $392.11 / $392.11	Facility		$392.11	$392.11	$392.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $392.11	Professional		$384.85	$384.85	$392.11