Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.12 / $269.87 / $499.54	Facility		$211.12	$269.87	$499.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $269.87 / $390.97	Professional		$211.12	$269.87	$390.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.13 / $632.53 / $1,240.26	Facility		$620.13	$632.53	$1,240.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.29 / $283.29 / $905.86	Professional		$283.29	$283.29	$905.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $480.49 / $516.66 / $516.66	Facility		$480.49	$516.66	$516.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $516.66 / $516.66 / $516.66	Professional		$516.66	$516.66	$516.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $290.63	Professional		$212.16	$212.16	$290.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $620.13 / $1,395.29	Facility		$319.00	$620.13	$1,395.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $365.88 / $465.10 / $1,116.23	Professional		$365.88	$465.10	$1,116.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.90 / $595.90 / $595.90	Facility		$595.90	$595.90	$595.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.83 / $396.13 / $595.90	Professional		$372.83	$396.13	$595.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $620.13	Facility		$290.63	$290.63	$620.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $737.81	Professional		$212.16	$290.63	$737.81
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $309.38 / $568.53	Professional		$206.25	$309.38	$568.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $372.83 / $372.83 / $387.44	Facility		$372.83	$372.83	$387.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $372.83 / $372.83 / $595.90	Professional		$372.83	$372.83	$595.90