Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $260.39 / $481.98	Facility		$219.88	$260.39	$481.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.88 / $286.83 / $377.23	Professional		$219.88	$286.83	$377.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.34 / $610.30 / $1,196.68	Facility		$598.34	$610.30	$1,196.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.40 / $352.40 / $948.78	Professional		$352.40	$352.40	$948.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $463.61 / $498.51 / $498.51	Facility		$463.61	$498.51	$498.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $498.51 / $498.51 / $498.51	Professional		$498.51	$498.51	$498.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.87 / $364.87 / $499.82	Professional		$364.87	$364.87	$499.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $598.34 / $1,346.27	Facility		$319.00	$598.34	$1,346.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.95 / $448.76 / $1,077.01	Professional		$308.95	$448.76	$1,077.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.75 / $378.75 / $378.75	Facility		$378.75	$378.75	$378.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.73 / $378.75 / $454.50	Professional		$359.73	$378.75	$454.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $598.34	Facility		$499.82	$499.82	$598.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $356.48 / $364.87 / $904.83	Professional		$356.48	$364.87	$904.83
United Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $382.03 / $382.03	Facility		$0.46	$382.03	$382.03
United Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $359.00 / $547.26	Professional		$199.00	$359.00	$547.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $359.73 / $359.73 / $373.82	Facility		$359.73	$359.73	$373.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $359.73 / $359.73 / $382.21	Professional		$359.73	$359.73	$382.21