Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.75 / $301.37 / $557.85	Facility		$235.75	$301.37	$557.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $318.25 / $436.61	Professional		$235.75	$318.25	$436.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.53 / $706.38 / $1,385.06	Facility		$692.53	$706.38	$1,385.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.03 / $383.03 / $1,072.48	Professional		$383.03	$383.03	$1,072.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $536.58 / $576.97 / $576.97	Facility		$536.58	$576.97	$576.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $576.97 / $576.97 / $576.97	Professional		$576.97	$576.97	$576.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $408.71	Professional		$298.36	$298.36	$408.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $692.53 / $1,558.19	Facility		$319.00	$692.53	$1,558.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $357.59 / $519.40 / $1,246.55	Professional		$357.59	$519.40	$1,246.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.10 / $313.10 / $313.10	Facility		$313.10	$313.10	$313.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.10 / $416.34 / $496.60	Professional		$313.10	$416.34	$496.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $692.53	Facility		$408.71	$408.71	$692.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $408.71 / $1,031.86	Professional		$298.36	$408.71	$1,031.86
United Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $363.38 / $633.40	Professional		$230.33	$363.38	$633.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.34 / $416.34 / $432.65	Facility		$416.34	$416.34	$432.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $313.10 / $416.34 / $442.35	Professional		$313.10	$416.34	$442.35