Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.28 / $211.12 / $390.80	Facility		$178.28	$211.12	$390.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $214.01 / $305.86	Professional		$178.28	$214.01	$305.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.15 / $494.85 / $970.30	Facility		$485.15	$494.85	$970.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $298.61 / $795.79	Professional		$298.61	$298.61	$795.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $375.91 / $404.20 / $404.20	Facility		$375.91	$404.20	$404.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $404.20 / $404.20	Professional		$404.20	$404.20	$404.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $321.50	Professional		$234.70	$234.70	$321.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $485.15 / $1,091.58	Facility		$319.00	$485.15	$1,091.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $359.01 / $873.27	Professional		$280.55	$359.01	$873.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.69 / $350.69 / $350.69	Facility		$350.69	$350.69	$350.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $309.89 / $404.20	Professional		$291.67	$309.89	$404.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $585.60	Facility		$321.50	$321.50	$585.60
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $297.37 / $751.98	Professional		$234.70	$297.37	$751.98
United Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $291.08 / $418.16	Professional		$161.36	$291.08	$418.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.67 / $291.67 / $291.67	Facility		$291.67	$291.67	$291.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $291.67 / $350.69	Professional		$291.67	$291.67	$350.69