Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.51 / $284.81 / $527.20	Facility		$240.51	$284.81	$527.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.51 / $314.13 / $412.62	Professional		$240.51	$314.13	$412.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.47 / $667.56 / $1,308.94	Facility		$654.47	$667.56	$1,308.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $393.90 / $1,049.74	Professional		$393.90	$393.90	$1,049.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.10 / $545.27 / $545.27	Facility		$507.10	$545.27	$545.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $545.27 / $545.27 / $545.27	Professional		$545.27	$545.27	$545.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $353.63 / $484.42	Professional		$353.63	$353.63	$484.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $654.47 / $1,472.56	Facility		$319.00	$654.47	$1,472.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.14 / $496.26 / $1,178.05	Professional		$386.14	$496.26	$1,178.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.26 / $496.26 / $496.26	Facility		$496.26	$496.26	$496.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.48 / $418.07 / $545.27	Professional		$393.48	$418.07	$545.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $654.47	Facility		$484.42	$484.42	$654.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $353.63 / $389.92 / $975.16	Professional		$353.63	$389.92	$975.16
United Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $404.91 / $598.55	Professional		$217.67	$404.91	$598.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $393.48 / $393.48 / $408.89	Facility		$393.48	$393.48	$408.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.48 / $393.48 / $496.26	Professional		$393.48	$393.48	$496.26