Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.28 / $243.24 / $450.25	Facility		$190.28	$243.24	$450.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $271.66 / $352.38	Professional		$190.28	$271.66	$352.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.94 / $570.12 / $1,117.88	Facility		$558.94	$570.12	$1,117.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.43 / $340.43 / $907.24	Professional		$340.43	$340.43	$907.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $433.07 / $465.67 / $465.67	Facility		$433.07	$465.67	$465.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $465.67 / $465.67	Professional		$465.67	$465.67	$465.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $373.57	Facility		$373.57	$373.57	$373.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $373.57	Professional		$272.70	$272.70	$373.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $558.94 / $1,257.61	Facility		$319.00	$558.94	$1,257.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.62 / $413.62 / $1,006.09	Professional		$288.62	$413.62	$1,006.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.88 / $189.88 / $189.88	Facility		$189.88	$189.88	$189.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $336.03 / $400.82	Professional		$189.88	$336.03	$400.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $373.57 / $373.57 / $597.00	Facility		$373.57	$373.57	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $333.00 / $832.82	Professional		$272.70	$333.00	$832.82
United Facility/Professional Facility Modifier Low / Median / High Price $210.03 / $276.36 / $364.85	Facility		$210.03	$276.36	$364.85
United Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $295.33 / $511.23	Professional		$185.90	$295.33	$511.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $336.03 / $336.03 / $349.21	Facility		$336.03	$336.03	$349.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $189.88 / $336.03 / $357.03	Professional		$189.88	$336.03	$357.03