Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.47 / $257.52 / $476.71	Facility		$217.47	$257.52	$476.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $323.35 / $383.50	Professional		$217.47	$323.35	$383.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.78 / $603.62 / $1,183.56	Facility		$591.78	$603.62	$1,183.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.88 / $359.88 / $959.08	Professional		$359.88	$359.88	$959.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $458.53 / $493.04 / $493.04	Facility		$458.53	$493.04	$493.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $493.04 / $493.04 / $493.04	Professional		$493.04	$493.04	$493.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $400.78	Facility		$400.78	$400.78	$400.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $400.78	Professional		$292.57	$292.57	$400.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $591.78 / $1,331.51	Facility		$319.00	$591.78	$1,331.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $443.84 / $1,065.20	Professional		$305.58	$443.84	$1,065.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.25 / $126.25 / $126.25	Facility		$126.25	$126.25	$126.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $355.78 / $424.37	Professional		$126.25	$355.78	$424.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $597.00	Facility		$400.78	$400.78	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $352.57 / $881.75	Professional		$292.57	$352.57	$881.75
United Facility/Professional Professional Modifier Low / Median / High Price $196.82 / $355.07 / $542.54	Professional		$196.82	$355.07	$542.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.78 / $355.78 / $369.73	Facility		$355.78	$355.78	$369.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $355.78 / $378.02	Professional		$126.25	$355.78	$378.02