Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.73 / $237.70 / $440.01	Facility		$200.73	$237.70	$440.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $240.99 / $344.38	Professional		$200.73	$240.99	$344.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.23 / $557.15 / $1,092.46	Facility		$546.23	$557.15	$1,092.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $305.45 / $846.58	Professional		$305.45	$305.45	$846.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $423.23 / $455.09 / $455.09	Facility		$423.23	$455.09	$455.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $455.09 / $455.09	Professional		$455.09	$455.09	$455.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $362.03	Professional		$264.27	$264.27	$362.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $546.23 / $1,229.02	Facility		$319.00	$546.23	$1,229.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.27 / $409.67 / $983.21	Professional		$322.27	$409.67	$983.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.19 / $414.19 / $414.19	Facility		$414.19	$414.19	$414.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.40 / $348.93 / $455.09	Professional		$328.40	$348.93	$455.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $597.00	Facility		$362.03	$362.03	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $337.60 / $810.94	Professional		$264.27	$337.60	$810.94
United Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $327.74 / $491.80	Professional		$181.67	$327.74	$491.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $328.40 / $328.40 / $330.73	Facility		$328.40	$328.40	$330.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $328.40 / $328.40 / $414.19	Professional		$328.40	$328.40	$414.19