Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.62 / $439.26 / $766.96	Facility		$348.62	$439.26	$766.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $414.86	Professional		$356.93	$356.93	$414.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.54 / $285.54 / $356.93	Facility		$285.54	$285.54	$356.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.60 / $356.93 / $364.79	Professional		$322.60	$356.93	$364.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $296.33 / $296.33 / $311.16	Facility		$296.33	$296.33	$311.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $296.33 / $296.33	Professional		$296.33	$296.33	$296.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.52 / $336.73 / $344.32	Facility		$301.52	$336.73	$344.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Professional		$356.93	$356.93	$356.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $341.63 / $757.64	Facility		$319.00	$341.63	$757.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.63 / $341.63 / $435.45	Professional		$341.63	$341.63	$435.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.93 / $356.93 / $363.66	Facility		$356.93	$356.93	$363.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $363.66 / $363.66	Professional		$356.93	$363.66	$363.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $301.52 / $336.73 / $455.91	Facility		$301.52	$336.73	$455.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $404.07	Professional		$356.93	$356.93	$404.07
United Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $374.10 / $478.29	Professional		$356.93	$374.10	$478.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.66 / $363.66 / $363.66	Facility		$363.66	$363.66	$363.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $363.66 / $363.66	Professional		$356.93	$363.66	$363.66