Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.69 / $335.81 / $621.60	Facility		$262.69	$335.81	$621.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $397.64 / $486.50	Professional		$262.69	$397.64	$486.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.65 / $787.08 / $1,543.30	Facility		$771.65	$787.08	$1,543.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.98 / $469.98 / $1,252.49	Professional		$469.98	$469.98	$1,252.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $597.90 / $642.90 / $642.90	Facility		$597.90	$642.90	$642.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $642.90 / $642.90 / $642.90	Professional		$642.90	$642.90	$642.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $499.17	Professional		$364.39	$364.39	$499.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $771.65 / $1,736.21	Facility		$319.00	$771.65	$1,736.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $455.27 / $585.11 / $1,388.97	Professional		$455.27	$585.11	$1,388.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.11 / $585.11 / $585.11	Facility		$585.11	$585.11	$585.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.92 / $492.92 / $642.90	Professional		$463.92	$492.92	$642.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $771.65	Facility		$499.17	$499.17	$771.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $459.73 / $1,118.44	Professional		$364.39	$459.73	$1,118.44
United Facility/Professional Professional Modifier Low / Median / High Price $256.64 / $417.05 / $705.78	Professional		$256.64	$417.05	$705.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $463.92 / $463.92 / $482.10	Facility		$463.92	$463.92	$482.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $463.92 / $463.92 / $585.11	Professional		$463.92	$463.92	$585.11