Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.11 / $236.63 / $438.01	Facility		$185.11	$236.63	$438.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $236.63 / $342.80	Professional		$185.11	$236.63	$342.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $543.73 / $554.60 / $1,087.46	Facility		$543.73	$554.60	$1,087.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.08 / $280.08 / $830.10	Professional		$280.08	$280.08	$830.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $421.30 / $453.01 / $453.01	Facility		$421.30	$453.01	$453.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $453.01 / $453.01	Professional		$453.01	$453.01	$453.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $543.73 / $1,223.39	Facility		$319.00	$543.73	$1,223.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $320.80 / $407.80 / $978.71	Professional		$320.80	$407.80	$978.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.31 / $412.31 / $412.31	Facility		$412.31	$412.31	$412.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $347.34 / $453.01	Professional		$326.91	$347.34	$453.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $597.00	Facility		$352.55	$352.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $323.95 / $725.16	Professional		$257.36	$323.95	$725.16
United Facility/Professional Professional Modifier Low / Median / High Price $180.84 / $271.27 / $497.32	Professional		$180.84	$271.27	$497.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $326.91 / $326.91 / $339.72	Facility		$326.91	$326.91	$339.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $326.91 / $412.31	Professional		$326.91	$326.91	$412.31