Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.70 / $303.99 / $562.70	Facility		$256.70	$303.99	$562.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $319.61 / $440.40	Professional		$256.70	$319.61	$440.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.54 / $712.51 / $1,397.08	Facility		$698.54	$712.51	$1,397.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.79 / $424.79 / $1,132.06	Professional		$424.79	$424.79	$1,132.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $541.24 / $581.98 / $581.98	Facility		$541.24	$581.98	$581.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $581.98 / $581.98 / $581.98	Professional		$581.98	$581.98	$581.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $405.70 / $555.76	Professional		$405.70	$405.70	$555.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $698.54 / $1,571.72	Facility		$319.00	$698.54	$1,571.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $360.70 / $523.91 / $1,257.36	Professional		$360.70	$523.91	$1,257.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $303.00 / $303.00	Facility		$303.00	$303.00	$303.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $419.96 / $500.91	Professional		$303.00	$419.96	$500.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $698.54	Facility		$555.76	$555.76	$698.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $405.70 / $416.17 / $1,040.82	Professional		$405.70	$416.17	$1,040.82
United Facility/Professional Professional Modifier Low / Median / High Price $232.33 / $419.12 / $638.90	Professional		$232.33	$419.12	$638.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $419.96 / $419.96 / $436.42	Facility		$419.96	$419.96	$436.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $419.96 / $446.21	Professional		$303.00	$419.96	$446.21