Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.55 / $340.52 / $630.30	Facility		$287.55	$340.52	$630.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.55 / $364.37 / $493.32	Professional		$287.55	$364.37	$493.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.47 / $798.12 / $1,564.94	Facility		$782.47	$798.12	$1,564.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.56 / $456.56 / $1,240.76	Professional		$456.56	$456.56	$1,240.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $606.28 / $651.91 / $651.91	Facility		$606.28	$651.91	$651.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $651.91 / $651.91 / $651.91	Professional		$651.91	$651.91	$651.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $354.47 / $485.57	Professional		$354.47	$354.47	$485.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $782.47 / $1,760.56	Facility		$319.00	$782.47	$1,760.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.08 / $586.85 / $1,408.45	Professional		$412.08	$586.85	$1,408.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.10 / $515.10 / $515.10	Facility		$515.10	$515.10	$515.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.43 / $499.83 / $618.12	Professional		$470.43	$499.83	$618.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $782.47	Facility		$485.57	$485.57	$782.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $354.47 / $466.19 / $1,087.97	Professional		$354.47	$466.19	$1,087.97
United Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $453.49 / $695.35	Professional		$260.24	$453.49	$695.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $470.43 / $470.43 / $488.87	Facility		$470.43	$470.43	$488.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $470.43 / $470.43 / $515.10	Professional		$470.43	$470.43	$515.10