Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $229.63 / $425.04	Facility		$193.91	$229.63	$425.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $301.72 / $341.94	Professional		$193.91	$301.72	$341.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.65 / $538.20 / $1,055.30	Facility		$527.65	$538.20	$1,055.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.36 / $322.36 / $859.08	Professional		$322.36	$322.36	$859.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $408.84 / $439.61 / $439.61	Facility		$408.84	$439.61	$439.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $439.61 / $439.61 / $439.61	Professional		$439.61	$439.61	$439.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $402.09	Professional		$293.52	$293.52	$402.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $527.65 / $1,187.21	Facility		$319.00	$527.65	$1,187.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $311.31 / $400.10 / $949.77	Professional		$311.31	$400.10	$949.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.10 / $400.10 / $400.10	Facility		$400.10	$400.10	$400.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.23 / $337.05 / $439.61	Professional		$317.23	$337.05	$439.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $597.00	Facility		$402.09	$402.09	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $314.36 / $786.20	Professional		$293.52	$314.36	$786.20
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $316.58 / $482.60	Professional		$175.49	$316.58	$482.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $317.23 / $317.23 / $329.66	Facility		$317.23	$317.23	$329.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $317.23 / $317.23 / $400.10	Professional		$317.23	$317.23	$400.10