Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.57 / $289.63 / $536.12	Facility		$226.57	$289.63	$536.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $290.79 / $419.60	Professional		$226.57	$290.79	$419.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.55 / $678.86 / $1,331.10	Facility		$665.55	$678.86	$1,331.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.95 / $363.95 / $1,025.79	Professional		$363.95	$363.95	$1,025.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $515.69 / $554.50 / $554.50	Facility		$515.69	$554.50	$554.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $554.50 / $554.50	Professional		$554.50	$554.50	$554.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $277.86 / $380.63	Professional		$277.86	$277.86	$380.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $665.55 / $1,497.49	Facility		$319.00	$665.55	$1,497.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $492.51 / $1,197.99	Professional		$343.66	$492.51	$1,197.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.73 / $403.73 / $403.73	Facility		$403.73	$403.73	$403.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $403.73 / $484.48	Professional		$388.69	$403.73	$484.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $665.55	Facility		$380.63	$380.63	$665.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $988.13	Professional		$277.86	$380.63	$988.13
United Facility/Professional Professional Modifier Low / Median / High Price $221.36 / $339.33 / $608.73	Professional		$221.36	$339.33	$608.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.76 / $388.69 / $388.69	Facility		$355.76	$388.69	$388.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $388.69 / $412.99	Professional		$388.69	$388.69	$412.99