Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.30 / $227.72 / $421.52	Facility		$192.30	$227.72	$421.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.30 / $254.02 / $329.90	Professional		$192.30	$254.02	$329.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.28 / $533.75 / $1,046.56	Facility		$523.28	$533.75	$1,046.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.41 / $317.41 / $845.89	Professional		$317.41	$317.41	$845.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $405.45 / $435.97 / $435.97	Facility		$405.45	$435.97	$435.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $435.97 / $435.97 / $435.97	Professional		$435.97	$435.97	$435.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $338.50	Facility		$338.50	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $338.50	Professional		$247.11	$247.11	$338.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $523.28 / $1,177.38	Facility		$319.00	$523.28	$1,177.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.18 / $392.46 / $941.90	Professional		$296.18	$392.46	$941.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.23 / $370.23 / $370.23	Facility		$370.23	$370.23	$370.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $334.26 / $435.97	Professional		$314.60	$334.26	$435.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $597.00	Facility		$338.50	$338.50	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $311.76 / $758.44	Professional		$247.11	$311.76	$758.44
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $313.97 / $471.14	Professional		$174.04	$313.97	$471.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $314.60 / $314.60 / $326.93	Facility		$314.60	$314.60	$326.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $314.60 / $314.60 / $370.23	Professional		$314.60	$314.60	$370.23