Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.67 / $247.57 / $458.27	Facility		$193.67	$247.57	$458.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.67 / $248.57 / $358.67	Professional		$193.67	$248.57	$358.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.90 / $580.28 / $1,137.80	Facility		$568.90	$580.28	$1,137.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $316.64 / $881.70	Professional		$316.64	$316.64	$881.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $440.80 / $473.98 / $473.98	Facility		$440.80	$473.98	$473.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $473.98 / $473.98	Professional		$473.98	$473.98	$473.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $467.69	Professional		$237.52	$325.37	$467.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $568.90 / $1,280.03	Facility		$319.00	$568.90	$1,280.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $328.99 / $420.99 / $1,024.02	Professional		$328.99	$420.99	$1,024.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.24 / $411.24 / $411.24	Facility		$411.24	$411.24	$411.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $363.39 / $473.98	Professional		$342.03	$363.39	$473.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $597.00	Facility		$325.37	$325.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $396.77 / $675.75	Professional		$237.52	$396.77	$675.75
United Facility/Professional Professional Modifier Low / Median / High Price $189.21 / $294.97 / $512.22	Professional		$189.21	$294.97	$512.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $342.03 / $342.03 / $342.03	Facility		$342.03	$342.03	$342.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $342.03 / $411.24	Professional		$342.03	$342.03	$411.24