Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $258.19 / $477.93	Facility		$201.98	$258.19	$477.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $259.68 / $374.05	Professional		$201.98	$259.68	$374.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $605.17 / $1,186.61	Facility		$593.30	$605.17	$1,186.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $326.91 / $915.34	Professional		$326.91	$326.91	$915.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $459.71 / $494.31 / $494.31	Facility		$459.71	$494.31	$494.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $494.31 / $494.31 / $494.31	Professional		$494.31	$494.31	$494.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $380.61	Professional		$277.85	$277.85	$380.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $593.30 / $1,334.95	Facility		$319.00	$593.30	$1,334.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.36 / $439.80 / $1,067.96	Professional		$306.36	$439.80	$1,067.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.36 / $360.36 / $360.36	Facility		$360.36	$360.36	$360.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $360.36 / $432.43	Professional		$356.70	$360.36	$432.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $597.00	Facility		$380.61	$380.61	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $363.66 / $919.63	Professional		$277.85	$363.66	$919.63
United Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $296.50 / $542.65	Professional		$197.33	$296.50	$542.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $317.14 / $356.70 / $356.70	Facility		$317.14	$356.70	$356.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $356.70 / $378.99	Professional		$356.70	$356.70	$378.99