Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.27 / $344.22 / $637.16	Facility		$269.27	$344.22	$637.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $421.86 / $512.59	Professional		$269.27	$421.86	$512.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.98 / $806.80 / $1,581.96	Facility		$790.98	$806.80	$1,581.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $481.00 / $1,281.85	Professional		$481.00	$481.00	$1,281.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $612.87 / $659.00 / $659.00	Facility		$612.87	$659.00	$659.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $659.00 / $659.00	Professional		$659.00	$659.00	$659.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $360.80 / $494.25	Professional		$360.80	$360.80	$494.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $790.98 / $1,779.71	Facility		$319.00	$790.98	$1,779.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $408.44 / $593.24 / $1,423.76	Professional		$408.44	$593.24	$1,423.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.11 / $504.11 / $504.11	Facility		$504.11	$504.11	$504.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.55 / $504.11 / $604.92	Professional		$475.55	$504.11	$604.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $790.98	Facility		$494.25	$494.25	$790.98
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $471.25 / $1,146.08	Professional		$360.80	$471.25	$1,146.08
United Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $425.03 / $723.46	Professional		$263.08	$425.03	$723.46
Univera Facility/Professional Facility Modifier Low / Median / High Price $475.55 / $475.55 / $494.18	Facility		$475.55	$475.55	$494.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $475.55 / $475.55 / $505.26	Professional		$475.55	$475.55	$505.26