Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.17 / $279.68 / $517.69	Facility		$236.17	$279.68	$517.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $279.68 / $405.17	Professional		$236.17	$279.68	$405.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $655.52 / $1,285.33	Facility		$642.66	$655.52	$1,285.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.47 / $294.47 / $938.78	Professional		$294.47	$294.47	$938.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $497.95 / $535.42 / $535.42	Facility		$497.95	$535.42	$535.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $535.42 / $535.42 / $535.42	Professional		$535.42	$535.42	$535.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $365.10	Professional		$266.52	$266.52	$365.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $642.66 / $1,446.01	Facility		$319.00	$642.66	$1,446.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.75 / $462.72 / $1,156.81	Professional		$326.75	$462.72	$1,156.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.05 / $308.05 / $308.05	Facility		$308.05	$308.05	$308.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.05 / $386.38 / $460.85	Professional		$308.05	$386.38	$460.85
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $642.66	Facility		$365.10	$365.10	$642.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $817.97	Professional		$266.52	$365.10	$817.97
United Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $345.34 / $553.92	Professional		$213.75	$345.34	$553.92
Univera Facility/Professional Facility Modifier Low / Median / High Price $386.38 / $386.38 / $401.51	Facility		$386.38	$386.38	$401.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $308.05 / $386.38 / $410.52	Professional		$308.05	$386.38	$410.52