Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.88 / $260.62 / $482.42	Facility		$203.88	$260.62	$482.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $267.95 / $377.58	Professional		$203.88	$267.95	$377.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.89 / $610.87 / $1,197.78	Facility		$598.89	$610.87	$1,197.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.99 / $308.99 / $914.24	Professional		$308.99	$308.99	$914.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $464.03 / $498.96 / $498.96	Facility		$464.03	$498.96	$498.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $498.96 / $498.96	Professional		$498.96	$498.96	$498.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $229.07 / $313.79	Professional		$229.07	$229.07	$313.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $598.89 / $1,347.50	Facility		$319.00	$598.89	$1,347.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $449.17 / $1,078.00	Professional		$309.24	$449.17	$1,078.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $297.95 / $297.95	Facility		$297.95	$297.95	$297.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $360.05 / $429.45	Professional		$297.95	$360.05	$429.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $598.89	Facility		$313.79	$313.79	$598.89
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $277.83 / $816.09	Professional		$229.07	$277.83	$816.09
United Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $298.77 / $516.19	Professional		$199.18	$298.77	$516.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $360.05 / $360.05 / $374.16	Facility		$360.05	$360.05	$374.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $360.05 / $382.56	Professional		$297.95	$360.05	$382.56