Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.83 / $253.22 / $468.72	Facility		$213.83	$253.22	$468.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $253.22 / $366.85	Professional		$196.42	$253.22	$366.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.88 / $593.52 / $1,163.76	Facility		$581.88	$593.52	$1,163.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $270.76 / $849.98	Professional		$270.76	$270.76	$849.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $450.85 / $484.79 / $484.79	Facility		$450.85	$484.79	$484.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $484.79 / $484.79 / $484.79	Professional		$484.79	$484.79	$484.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $335.84	Professional		$245.16	$245.16	$335.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $581.88 / $1,309.23	Facility		$319.00	$581.88	$1,309.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $418.95 / $1,047.38	Professional		$300.45	$418.95	$1,047.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.50 / $252.50 / $252.50	Facility		$252.50	$252.50	$252.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $349.84 / $417.26	Professional		$252.50	$349.84	$417.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $581.88	Facility		$335.84	$335.84	$581.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $335.84 / $901.91	Professional		$245.16	$335.84	$901.91
United Facility/Professional Professional Modifier Low / Median / High Price $193.53 / $318.66 / $523.69	Professional		$193.53	$318.66	$523.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $349.84 / $349.84 / $363.53	Facility		$349.84	$349.84	$363.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $349.84 / $371.70	Professional		$252.50	$349.84	$371.70