Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.73 / $382.18 / $707.43	Facility		$322.73	$382.18	$707.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $382.18 / $553.66	Professional		$322.73	$382.18	$553.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.20 / $895.76 / $1,756.40	Facility		$878.20	$895.76	$1,756.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.76 / $482.76 / $1,353.59	Professional		$482.76	$482.76	$1,353.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $680.45 / $731.67 / $731.67	Facility		$680.45	$731.67	$731.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $731.67 / $731.67 / $731.67	Professional		$731.67	$731.67	$731.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $430.29 / $589.44	Professional		$430.29	$430.29	$589.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $878.20 / $1,975.95	Facility		$319.00	$878.20	$1,975.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $453.48 / $632.29 / $1,580.76	Professional		$453.48	$632.29	$1,580.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $533.40 / $533.40 / $533.40	Facility		$533.40	$533.40	$533.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.98 / $533.40 / $640.08	Professional		$527.98	$533.40	$640.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $878.20	Facility		$589.44	$589.44	$878.20
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $523.23 / $1,275.94	Professional		$430.29	$523.23	$1,275.94
United Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $525.64 / $741.00	Professional		$292.08	$525.64	$741.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $527.98 / $527.98 / $548.67	Facility		$527.98	$527.98	$548.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $527.98 / $527.98 / $560.98	Professional		$527.98	$527.98	$560.98