Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.85 / $219.68 / $406.63	Facility		$171.85	$219.68	$406.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.85 / $219.68 / $318.25	Professional		$171.85	$219.68	$318.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.79 / $514.89 / $1,009.58	Facility		$504.79	$514.89	$1,009.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.70 / $221.70 / $737.38	Professional		$221.70	$221.70	$737.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $391.13 / $420.57 / $420.57	Facility		$391.13	$420.57	$420.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $420.57 / $420.57 / $420.57	Professional		$420.57	$420.57	$420.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $236.57	Professional		$172.70	$172.70	$236.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $504.79 / $1,135.78	Facility		$319.00	$504.79	$1,135.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $378.59 / $908.62	Professional		$297.83	$378.59	$908.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.77 / $382.77 / $382.77	Facility		$382.77	$382.77	$382.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.48 / $322.45 / $420.57	Professional		$303.48	$322.45	$420.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $555.00	Facility		$236.57	$236.57	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $236.57 / $600.59	Professional		$172.70	$236.57	$600.59
United Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $251.84 / $454.31	Professional		$167.89	$251.84	$454.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $303.48 / $303.48 / $315.38	Facility		$303.48	$303.48	$315.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $303.48 / $303.48 / $382.77	Professional		$303.48	$303.48	$382.77