Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.85 / $462.40 / $849.98	Facility		$380.85	$462.40	$849.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.85 / $462.40 / $640.45	Professional		$380.85	$462.40	$640.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.58 / $660.53 / $1,295.16	Facility		$647.58	$660.53	$1,295.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.32 / $685.32 / $1,713.30	Professional		$685.32	$685.32	$1,713.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $731.57 / $786.63 / $786.63	Facility		$731.57	$786.63	$786.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $786.63 / $786.63 / $786.63	Professional		$786.63	$786.63	$786.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $712.60	Professional		$464.99	$464.99	$712.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $767.59 / $1,457.06	Facility		$319.00	$767.59	$1,457.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $401.50 / $543.97 / $1,165.64	Professional		$401.50	$543.97	$1,165.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.64 / $567.64 / $567.64	Facility		$567.64	$567.64	$567.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.64 / $679.31 / $721.77	Professional		$567.64	$679.31	$721.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $636.97 / $712.60	Facility		$597.00	$636.97	$712.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $630.54 / $1,177.02	Professional		$464.99	$630.54	$1,177.02
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $531.04 / $950.04	Professional		$350.94	$531.04	$950.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $679.31 / $679.31 / $679.31	Facility		$679.31	$679.31	$679.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $567.64 / $679.31 / $721.77	Professional		$567.64	$679.31	$721.77