Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.99 / $301.95 / $558.94	Facility		$254.99	$301.95	$558.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $375.64 / $447.78	Professional		$254.99	$375.64	$447.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $707.75 / $1,387.74	Facility		$693.87	$707.75	$1,387.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.74 / $416.74 / $1,110.60	Professional		$416.74	$416.74	$1,110.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $537.63 / $578.10 / $578.10	Facility		$537.63	$578.10	$578.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $578.10 / $578.10 / $578.10	Professional		$578.10	$578.10	$578.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $500.58	Professional		$365.42	$365.42	$500.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $693.87 / $1,561.21	Facility		$319.00	$693.87	$1,561.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $520.40 / $1,248.97	Professional		$358.29	$520.40	$1,248.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.75 / $277.75 / $277.75	Facility		$277.75	$277.75	$277.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $417.17 / $497.57	Professional		$277.75	$417.17	$497.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $693.87	Facility		$500.58	$500.58	$693.87
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $413.39 / $1,033.86	Professional		$365.42	$413.39	$1,033.86
United Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $451.02 / $598.07	Professional		$230.78	$451.02	$598.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $417.17 / $417.17 / $433.51	Facility		$417.17	$417.17	$433.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $417.17 / $443.24	Professional		$277.75	$417.17	$443.24