Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.52 / $223.09 / $412.95	Facility		$174.52	$223.09	$412.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $223.09 / $323.19	Professional		$174.52	$223.09	$323.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.63 / $522.88 / $1,025.26	Facility		$512.63	$522.88	$1,025.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $235.22 / $748.83	Professional		$235.22	$235.22	$748.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $397.20 / $427.10 / $427.10	Facility		$397.20	$427.10	$427.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $427.10 / $427.10 / $427.10	Professional		$427.10	$427.10	$427.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $251.00	Professional		$183.23	$183.23	$251.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $512.63 / $1,153.42	Facility		$319.00	$512.63	$1,153.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $369.09 / $922.73	Professional		$264.70	$369.09	$922.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.89 / $292.89 / $292.89	Facility		$292.89	$292.89	$292.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $308.20 / $367.61	Professional		$292.89	$308.20	$367.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $555.00	Facility		$251.00	$251.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $609.91	Professional		$183.23	$251.00	$609.91
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $255.75 / $468.88	Professional		$170.50	$255.75	$468.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $308.20 / $320.27	Facility		$308.20	$308.20	$320.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $308.20 / $327.45	Professional		$292.89	$308.20	$327.45