Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.22 / $257.24 / $476.16	Facility		$217.22	$257.24	$476.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.22 / $257.24 / $372.66	Professional		$217.22	$257.24	$372.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.10 / $602.91 / $1,182.20	Facility		$591.10	$602.91	$1,182.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $315.95 / $911.07	Professional		$315.95	$315.95	$911.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $492.47 / $492.47	Facility		$458.00	$492.47	$492.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $492.47 / $492.47 / $492.47	Professional		$492.47	$492.47	$492.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $364.44	Professional		$266.04	$266.04	$364.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $591.10 / $1,329.98	Facility		$319.00	$591.10	$1,329.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $443.33 / $1,063.98	Professional		$305.23	$443.33	$1,063.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.93 / $295.93 / $295.93	Facility		$295.93	$295.93	$295.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $355.38 / $423.88	Professional		$295.93	$355.38	$423.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $597.00	Facility		$364.44	$364.44	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $352.17 / $749.53	Professional		$266.04	$352.17	$749.53
United Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $351.11 / $509.49	Professional		$196.60	$351.11	$509.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $355.38 / $355.38 / $369.31	Facility		$355.38	$355.38	$369.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $355.38 / $377.59	Professional		$295.93	$355.38	$377.59