Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $399.95 / $657.06	Facility		$317.42	$399.95	$657.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $365.03	Professional		$318.52	$318.52	$365.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.82 / $254.82 / $318.52	Facility		$254.82	$254.82	$318.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.17 / $318.52 / $531.61	Professional		$296.17	$318.52	$531.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $281.79 / $281.79 / $295.88	Facility		$281.79	$281.79	$295.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $281.79 / $281.79 / $281.79	Professional		$281.79	$281.79	$281.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.43 / $300.50 / $313.00	Facility		$299.43	$300.50	$313.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $345.58 / $676.13	Facility		$300.50	$345.58	$676.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $345.58 / $388.61	Professional		$330.55	$345.58	$388.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $324.54	Facility		$318.52	$318.52	$324.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $324.54 / $324.54	Professional		$318.52	$324.54	$324.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $299.43 / $300.50 / $409.68	Facility		$299.43	$300.50	$409.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $360.60	Professional		$318.52	$318.52	$360.60
United Facility/Professional Professional Modifier Low / Median / High Price $309.45 / $334.46 / $426.83	Professional		$309.45	$334.46	$426.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $324.54 / $324.54 / $324.54	Facility		$324.54	$324.54	$324.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $324.54 / $324.54	Professional		$318.52	$324.54	$324.54