Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.78 / $264.33 / $489.28	Facility		$206.78	$264.33	$489.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $271.45 / $382.93	Professional		$206.78	$271.45	$382.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.39 / $619.54 / $1,214.78	Facility		$607.39	$619.54	$1,214.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.12 / $316.12 / $936.17	Professional		$316.12	$316.12	$936.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $470.62 / $506.04 / $506.04	Facility		$470.62	$506.04	$506.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $506.04 / $506.04 / $506.04	Professional		$506.04	$506.04	$506.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $276.70 / $379.04	Professional		$276.70	$276.70	$379.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $607.39 / $1,366.63	Facility		$319.00	$607.39	$1,366.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $460.57 / $1,093.30	Professional		$358.36	$460.57	$1,093.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.57 / $460.57 / $460.57	Facility		$460.57	$460.57	$460.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $388.00 / $506.04	Professional		$365.17	$388.00	$506.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $607.39	Facility		$379.04	$379.04	$607.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $361.88 / $941.45	Professional		$276.70	$361.88	$941.45
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $303.02 / $555.53	Professional		$202.01	$303.02	$555.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $365.17 / $365.17 / $379.49	Facility		$365.17	$365.17	$379.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $365.17 / $460.57	Professional		$365.17	$365.17	$460.57