Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.57 / $427.69 / $791.67	Facility		$334.57	$427.69	$791.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.57 / $446.24 / $619.60	Professional		$334.57	$446.24	$619.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $982.78 / $1,002.44 / $1,965.56	Facility		$982.78	$1,002.44	$1,965.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.53 / $466.53 / $1,435.60	Professional		$466.53	$466.53	$1,435.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $761.48 / $818.80 / $818.80	Facility		$761.48	$818.80	$818.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $818.80 / $818.80 / $818.80	Professional		$818.80	$818.80	$818.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Facility		$550.80	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $550.80	Professional		$402.09	$402.09	$550.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $982.78 / $2,211.26	Facility		$319.00	$982.78	$2,211.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $507.48 / $737.09 / $1,769.00	Professional		$507.48	$737.09	$1,769.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.78 / $431.78 / $431.78	Facility		$431.78	$431.78	$431.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $590.86 / $704.75	Professional		$431.78	$590.86	$704.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $982.78	Facility		$550.80	$550.80	$982.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $550.80 / $1,376.25	Professional		$402.09	$550.80	$1,376.25
United Facility/Professional Professional Modifier Low / Median / High Price $326.87 / $490.30 / $884.86	Professional		$326.87	$490.30	$884.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $590.86 / $590.86 / $614.01	Facility		$590.86	$590.86	$614.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $431.78 / $590.86 / $627.78	Professional		$431.78	$590.86	$627.78