Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.80 / $224.73 / $415.99	Facility		$175.80	$224.73	$415.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $272.64 / $325.58	Professional		$175.80	$272.64	$325.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.41 / $526.74 / $1,032.82	Facility		$516.41	$526.74	$1,032.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $818.85	Professional		$302.39	$302.39	$818.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $400.12 / $430.24 / $430.24	Facility		$400.12	$430.24	$430.24
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $430.24 / $430.24	Professional		$430.24	$430.24	$430.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $253.65 / $347.46	Professional		$253.65	$253.65	$347.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $516.41 / $1,161.92	Facility		$319.00	$516.41	$1,161.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $387.31 / $929.54	Professional		$277.58	$387.31	$929.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.98 / $346.98 / $346.98	Facility		$346.98	$346.98	$346.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $329.87 / $416.38	Professional		$310.45	$329.87	$416.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $597.00	Facility		$347.46	$347.46	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $319.16 / $769.45	Professional		$253.65	$319.16	$769.45
United Facility/Professional Professional Modifier Low / Median / High Price $171.75 / $289.62 / $516.41	Professional		$171.75	$289.62	$516.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $310.45 / $310.45 / $345.05	Facility		$310.45	$310.45	$345.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $310.45 / $346.98	Professional		$310.45	$310.45	$346.98