Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.65 / $204.46 / $378.47	Facility		$172.65	$204.46	$378.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.65 / $221.73 / $296.20	Professional		$172.65	$221.73	$296.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.82 / $479.22 / $939.64	Facility		$469.82	$479.22	$939.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.11 / $266.11 / $737.12	Professional		$266.11	$266.11	$737.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $364.03 / $391.43 / $391.43	Facility		$364.03	$391.43	$391.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $391.43 / $391.43	Professional		$391.43	$391.43	$391.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $366.26	Professional		$267.37	$267.37	$366.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $469.82 / $1,057.09	Facility		$319.00	$469.82	$1,057.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $242.61 / $352.37 / $845.68	Professional		$242.61	$352.37	$845.68
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 / $282.45 / $336.92	Professional		$252.50	$282.45	$336.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $571.03	Facility		$366.26	$366.26	$571.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $279.89 / $700.03	Professional		$267.37	$279.89	$700.03
United Facility/Professional Professional Modifier Low / Median / High Price $156.26 / $281.89 / $429.72	Professional		$156.26	$281.89	$429.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $282.45 / $293.52	Facility		$282.45	$282.45	$293.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $282.45 / $300.11	Professional		$252.50	$282.45	$300.11