Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.23 / $261.07 / $483.25	Facility		$204.23	$261.07	$483.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $261.07 / $378.22	Professional		$204.23	$261.07	$378.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.91 / $611.91 / $1,199.82	Facility		$599.91	$611.91	$1,199.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.93 / $319.93 / $924.62	Professional		$319.93	$319.93	$924.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $464.82 / $499.81 / $499.81	Facility		$464.82	$499.81	$499.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $499.81 / $499.81 / $499.81	Professional		$499.81	$499.81	$499.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $373.35	Professional		$272.55	$272.55	$373.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $599.91 / $1,349.80	Facility		$319.00	$599.91	$1,349.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $431.94 / $1,079.83	Professional		$309.77	$431.94	$1,079.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.50 / $353.50 / $353.50	Facility		$353.50	$353.50	$353.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $360.68 / $430.19	Professional		$353.50	$360.68	$430.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $599.91	Facility		$373.35	$373.35	$599.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $357.40 / $757.50	Professional		$272.55	$357.40	$757.50
United Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $299.29 / $522.86	Professional		$199.52	$299.29	$522.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $360.68 / $360.68 / $374.79	Facility		$360.68	$360.68	$374.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $360.68 / $383.21	Professional		$353.50	$360.68	$383.21