Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.34 / $316.18 / $585.27	Facility		$247.34	$316.18	$585.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $404.81 / $458.06	Professional		$247.34	$404.81	$458.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.55 / $741.08 / $1,453.10	Facility		$726.55	$741.08	$1,453.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.73 / $452.73 / $1,206.52	Professional		$452.73	$452.73	$1,206.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $562.96 / $605.33 / $605.33	Facility		$562.96	$605.33	$605.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $605.33 / $605.33 / $605.33	Professional		$605.33	$605.33	$605.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $454.00	Professional		$331.42	$331.42	$454.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $726.55 / $1,634.74	Facility		$319.00	$726.55	$1,634.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $544.91 / $1,307.79	Professional		$375.17	$544.91	$1,307.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.57 / $360.57 / $360.57	Facility		$360.57	$360.57	$360.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.57 / $436.81 / $521.01	Professional		$360.57	$436.81	$521.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $726.55	Facility		$454.00	$454.00	$726.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $432.86 / $1,123.13	Professional		$331.42	$432.86	$1,123.13
United Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $418.91 / $664.53	Professional		$241.65	$418.91	$664.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.81 / $436.81 / $453.92	Facility		$436.81	$436.81	$453.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $360.57 / $436.81 / $464.11	Professional		$360.57	$436.81	$464.11