Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.94 / $350.45 / $648.70	Facility		$295.94	$350.45	$648.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.10 / $350.45 / $507.72	Professional		$276.10	$350.45	$507.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $805.31 / $821.42 / $1,610.62	Facility		$805.31	$821.42	$1,610.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.99 / $368.99 / $1,176.35	Professional		$368.99	$368.99	$1,176.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $623.97 / $670.94 / $670.94	Facility		$623.97	$670.94	$670.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $670.94 / $670.94 / $670.94	Professional		$670.94	$670.94	$670.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $427.13	Professional		$311.80	$311.80	$427.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $805.31 / $1,811.95	Facility		$319.00	$805.31	$1,811.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $579.82 / $1,449.56	Professional		$415.83	$579.82	$1,449.56
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 $308.05 / $484.16 / $577.48	Professional		$308.05	$484.16	$577.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $805.31	Facility		$427.13	$427.13	$805.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $427.13 / $958.14	Professional		$311.80	$427.13	$958.14
United Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $434.76 / $736.56	Professional		$267.83	$434.76	$736.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $484.16 / $484.16 / $503.12	Facility		$484.16	$484.16	$503.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.05 / $484.16 / $514.41	Professional		$308.05	$484.16	$514.41