Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.18 / $330.04 / $610.91	Facility		$258.18	$330.04	$610.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $330.04 / $478.14	Professional		$248.52	$330.04	$478.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.39 / $773.56 / $1,516.78	Facility		$758.39	$773.56	$1,516.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $346.43 / $1,107.82	Professional		$346.43	$346.43	$1,107.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $587.62 / $631.85 / $631.85	Facility		$587.62	$631.85	$631.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $631.85 / $631.85 / $631.85	Professional		$631.85	$631.85	$631.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $477.88	Facility		$477.88	$477.88	$477.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $348.85 / $477.88	Professional		$348.85	$348.85	$477.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $758.39 / $1,706.38	Facility		$319.00	$758.39	$1,706.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.61 / $546.04 / $1,365.10	Professional		$391.61	$546.04	$1,365.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.55 / $459.55 / $459.55	Facility		$459.55	$459.55	$459.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.95 / $459.55 / $551.46	Professional		$455.95	$459.55	$551.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $758.39	Facility		$477.88	$477.88	$758.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $451.84 / $1,175.50	Professional		$348.85	$451.84	$1,175.50
United Facility/Professional Professional Modifier Low / Median / High Price $252.24 / $392.46 / $656.22	Professional		$252.24	$392.46	$656.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $455.95 / $455.95 / $473.81	Facility		$455.95	$455.95	$473.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $455.95 / $455.95 / $484.45	Professional		$455.95	$455.95	$484.45