Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.68 / $380.94 / $705.13	Facility		$321.68	$380.94	$705.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.68 / $459.95 / $567.26	Professional		$321.68	$459.95	$567.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.36 / $892.87 / $1,750.72	Facility		$875.36	$892.87	$1,750.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.32 / $532.32 / $1,418.63	Professional		$532.32	$532.32	$1,418.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $678.25 / $729.30 / $729.30	Facility		$678.25	$729.30	$729.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $729.30 / $729.30 / $729.30	Professional		$729.30	$729.30	$729.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $612.94	Professional		$447.45	$447.45	$612.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $875.36 / $1,969.56	Facility		$319.00	$875.36	$1,969.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $452.00 / $656.52 / $1,575.65	Professional		$452.00	$656.52	$1,575.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.25 / $328.25 / $328.25	Facility		$328.25	$328.25	$328.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.25 / $526.27 / $627.71	Professional		$328.25	$526.27	$627.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $612.94 / $875.36	Facility		$597.00	$612.94	$875.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $521.51 / $1,304.29	Professional		$447.45	$521.51	$1,304.29
United Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $577.08 / $577.08	Facility		$0.70	$577.08	$577.08
United Facility/Professional Professional Modifier Low / Median / High Price $291.14 / $525.22 / $800.62	Professional		$291.14	$525.22	$800.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $526.27 / $526.27 / $546.89	Facility		$526.27	$526.27	$546.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $328.25 / $526.27 / $559.16	Professional		$328.25	$526.27	$559.16