Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $256.45 / $474.72	Facility		$200.62	$256.45	$474.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $264.89 / $371.54	Professional		$200.62	$264.89	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.30 / $601.10 / $1,178.61	Facility		$589.30	$601.10	$1,178.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $352.59 / $939.65	Professional		$352.59	$352.59	$939.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $456.62 / $490.99 / $490.99	Facility		$456.62	$490.99	$490.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $490.99 / $490.99 / $490.99	Professional		$490.99	$490.99	$490.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $613.97	Professional		$276.61	$276.61	$613.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $589.30 / $1,325.95	Facility		$319.00	$589.30	$1,325.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.30 / $441.98 / $1,060.76	Professional		$304.30	$441.98	$1,060.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.73 / $325.73 / $325.73	Facility		$325.73	$325.73	$325.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $340.79 / $422.60	Professional		$325.73	$340.79	$422.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.32 / $276.61 / $878.07	Professional		$263.32	$276.61	$878.07
United Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $318.51 / $540.29	Professional		$196.00	$318.51	$540.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $340.79 / $340.79 / $368.18	Facility		$340.79	$340.79	$368.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $340.79 / $362.10	Professional		$325.73	$340.79	$362.10