Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.84 / $267.44 / $495.05	Facility		$225.84	$267.44	$495.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $339.31 / $398.26	Professional		$225.84	$339.31	$398.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.54 / $626.84 / $1,229.09	Facility		$614.54	$626.84	$1,229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $373.72 / $995.96	Professional		$373.72	$373.72	$995.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $476.17 / $512.01 / $512.01	Facility		$476.17	$512.01	$512.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $512.01 / $512.01 / $512.01	Professional		$512.01	$512.01	$512.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $452.18	Professional		$330.09	$330.09	$452.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $614.54 / $1,382.74	Facility		$319.00	$614.54	$1,382.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $460.91 / $1,106.19	Professional		$317.33	$460.91	$1,106.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.50 / $353.50 / $353.50	Facility		$353.50	$353.50	$353.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $369.47 / $440.69	Professional		$353.50	$369.47	$440.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $614.54	Facility		$452.18	$452.18	$614.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $366.13 / $915.68	Professional		$330.09	$366.13	$915.68
United Facility/Professional Facility Modifier Low / Median / High Price $819.40 / $819.40 / $819.40	Facility		$819.40	$819.40	$819.40
United Facility/Professional Professional Modifier Low / Median / High Price $204.40 / $380.21 / $544.55	Professional		$204.40	$380.21	$544.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $369.47 / $369.47 / $383.95	Facility		$369.47	$369.47	$383.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $353.50 / $369.47 / $392.56	Professional		$353.50	$369.47	$392.56