Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.90 / $303.04 / $560.95	Facility		$255.90	$303.04	$560.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $361.78 / $439.03	Professional		$255.90	$361.78	$439.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.36 / $710.29 / $1,392.72	Facility		$696.36	$710.29	$1,392.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.80 / $401.80 / $1,104.18	Professional		$401.80	$401.80	$1,104.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $539.55 / $580.16 / $580.16	Facility		$539.55	$580.16	$580.16
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $580.16 / $580.16 / $580.16	Professional		$580.16	$580.16	$580.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $410.92	Professional		$299.97	$299.97	$410.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $696.36 / $1,566.81	Facility		$319.00	$696.36	$1,566.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.56 / $522.27 / $1,253.45	Professional		$399.56	$522.27	$1,253.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.45 / $499.45 / $499.45	Facility		$499.45	$499.45	$499.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.65 / $444.81 / $580.16	Professional		$418.65	$444.81	$580.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $696.36	Facility		$410.92	$410.92	$696.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $1,037.58	Professional		$299.97	$410.92	$1,037.58
United Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $417.82 / $626.98	Professional		$231.60	$417.82	$626.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $418.65 / $418.65 / $435.05	Facility		$418.65	$418.65	$435.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $418.65 / $418.65 / $499.45	Professional		$418.65	$418.65	$499.45