Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.79 / $256.68 / $1,005.61	Facility		$200.79	$256.68	$1,005.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $256.68 / $371.86	Professional		$200.79	$256.68	$371.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.82 / $601.62 / $1,179.64	Facility		$589.82	$601.62	$1,179.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $262.63 / $861.58	Professional		$262.63	$262.63	$861.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.01 / $491.41 / $491.41	Facility		$457.01	$491.41	$491.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $491.41 / $491.41 / $491.41	Professional		$491.41	$491.41	$491.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $345.03	Professional		$251.87	$251.87	$345.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $589.82 / $1,327.10	Facility		$319.00	$589.82	$1,327.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $347.99 / $442.37 / $1,061.68	Professional		$347.99	$442.37	$1,061.68
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.24 / $447.24 / $447.24	Facility		$447.24	$447.24	$447.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.61 / $376.77 / $491.41	Professional		$354.61	$376.77	$491.41
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $589.82	Facility		$345.03	$345.03	$589.82
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $701.75	Professional		$251.87	$345.03	$701.75
United Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $294.26 / $539.47	Professional		$196.17	$294.26	$539.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.61 / $354.61 / $368.50	Facility		$354.61	$354.61	$368.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.61 / $354.61 / $447.24	Professional		$354.61	$354.61	$447.24