Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.38 / $226.63 / $419.49	Facility		$191.38	$226.63	$419.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.38 / $255.57 / $328.32	Professional		$191.38	$255.57	$328.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.77 / $531.19 / $1,041.54	Facility		$520.77	$531.19	$1,041.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $306.70 / $825.77	Professional		$306.70	$306.70	$825.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $403.50 / $433.87 / $433.87	Facility		$403.50	$433.87	$433.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $433.87 / $433.87 / $433.87	Professional		$433.87	$433.87	$433.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $340.42	Professional		$248.51	$248.51	$340.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $520.77 / $1,171.73	Facility		$319.00	$520.77	$1,171.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.91 / $390.58 / $937.39	Professional		$268.91	$390.58	$937.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Facility		$202.00	$202.00	$202.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $313.08 / $373.44	Professional		$202.00	$313.08	$373.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $597.00	Facility		$340.42	$340.42	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $310.24 / $762.66	Professional		$248.51	$310.24	$762.66
United Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $321.64 / $468.69	Professional		$173.20	$321.64	$468.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $313.08 / $313.08 / $325.35	Facility		$313.08	$313.08	$325.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $313.08 / $332.65	Professional		$202.00	$313.08	$332.65