Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.25 / $305.82 / $566.09	Facility		$258.25	$305.82	$566.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.22 / $305.82 / $443.05	Professional		$255.22	$305.82	$443.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.75 / $716.81 / $1,405.50	Facility		$702.75	$716.81	$1,405.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.85 / $356.85 / $1,072.80	Professional		$356.85	$356.85	$1,072.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $544.51 / $585.49 / $585.49	Facility		$544.51	$585.49	$585.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $585.49 / $585.49 / $585.49	Professional		$585.49	$585.49	$585.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $367.78 / $503.81	Professional		$367.78	$367.78	$503.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $702.75 / $1,581.19	Facility		$319.00	$702.75	$1,581.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.72 / $505.98 / $1,264.95	Professional		$375.72	$505.98	$1,264.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.65 / $469.65 / $469.65	Facility		$469.65	$469.65	$469.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $448.90 / $563.58	Professional		$422.50	$448.90	$563.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $702.75	Facility		$503.81	$503.81	$702.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $418.68 / $1,128.75	Professional		$367.78	$418.68	$1,128.75
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $388.54 / $605.72	Professional		$233.73	$388.54	$605.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $439.05	Facility		$422.50	$422.50	$439.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $422.50 / $469.65	Professional		$422.50	$422.50	$469.65