Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.14 / $375.56 / $695.18	Facility		$317.14	$375.56	$695.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $445.45 / $559.26	Professional		$317.14	$445.45	$559.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $880.26 / $1,726.00	Facility		$863.00	$880.26	$1,726.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $520.50 / $1,387.13	Professional		$520.50	$520.50	$1,387.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $668.67 / $719.00 / $719.00	Facility		$668.67	$719.00	$719.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $719.00 / $719.00 / $719.00	Professional		$719.00	$719.00	$719.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $582.20	Professional		$425.01	$425.01	$582.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $863.00 / $1,941.75	Facility		$319.00	$863.00	$1,941.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $445.63 / $647.25 / $1,553.40	Professional		$445.63	$647.25	$1,553.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.75 / $378.75 / $378.75	Facility		$378.75	$378.75	$378.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.75 / $518.85 / $618.86	Professional		$378.75	$518.85	$618.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $863.00	Facility		$582.20	$582.20	$863.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $514.15 / $1,285.86	Professional		$425.01	$514.15	$1,285.86
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $517.79 / $776.70	Professional		$287.02	$517.79	$776.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $518.85 / $518.85 / $539.17	Facility		$518.85	$518.85	$539.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $378.75 / $518.85 / $551.27	Professional		$378.75	$518.85	$551.27