Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.29 / $218.23 / $403.96	Facility		$184.29	$218.23	$403.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $241.01 / $316.16	Professional		$184.29	$241.01	$316.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.48 / $511.51 / $1,002.96	Facility		$501.48	$511.51	$1,002.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $304.95 / $812.71	Professional		$304.95	$304.95	$812.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $388.55 / $417.80 / $417.80	Facility		$388.55	$417.80	$417.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $417.80 / $417.80	Professional		$417.80	$417.80	$417.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $344.22	Facility		$344.22	$344.22	$344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $251.28 / $344.22	Professional		$251.28	$251.28	$344.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $501.48 / $1,128.33	Facility		$319.00	$501.48	$1,128.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $258.95 / $376.11 / $902.66	Professional		$258.95	$376.11	$902.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.05 / $308.05 / $308.05	Facility		$308.05	$308.05	$308.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $308.05 / $369.66	Professional		$301.50	$308.05	$369.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $344.22 / $597.00	Facility		$344.22	$344.22	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $298.76 / $747.21	Professional		$251.28	$298.76	$747.21
United Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $300.89 / $459.75	Professional		$166.79	$300.89	$459.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $301.50 / $301.50 / $313.31	Facility		$301.50	$301.50	$313.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $301.50 / $320.33	Professional		$301.50	$301.50	$320.33