Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $214.98 / $397.93	Facility		$168.17	$214.98	$397.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $226.87 / $311.44	Professional		$168.17	$226.87	$311.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $503.88 / $988.00	Facility		$494.00	$503.88	$988.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $300.87 / $801.81	Professional		$300.87	$300.87	$801.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $382.76 / $411.57 / $411.57	Facility		$382.76	$411.57	$411.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $411.57 / $411.57 / $411.57	Professional		$411.57	$411.57	$411.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $387.54	Professional		$282.89	$282.89	$387.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $494.00 / $1,111.50	Facility		$319.00	$494.00	$1,111.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $370.50 / $889.20	Professional		$255.09	$370.50	$889.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.25 / $227.25 / $227.25	Facility		$227.25	$227.25	$227.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $297.00 / $354.25	Professional		$227.25	$297.00	$354.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $597.00	Facility		$387.54	$387.54	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $294.32 / $736.06	Professional		$282.89	$294.32	$736.06
United Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $264.92 / $451.83	Professional		$164.30	$264.92	$451.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $297.00 / $308.63	Facility		$297.00	$297.00	$308.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $297.00 / $315.56	Professional		$227.25	$297.00	$315.56