Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.30 / $250.22 / $463.16	Facility		$211.30	$250.22	$463.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.30 / $298.31 / $362.50	Professional		$211.30	$298.31	$362.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.98 / $586.48 / $1,149.96	Facility		$574.98	$586.48	$1,149.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.65 / $349.65 / $931.81	Professional		$349.65	$349.65	$931.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $445.51 / $479.04 / $479.04	Facility		$445.51	$479.04	$479.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $479.04 / $479.04 / $479.04	Professional		$479.04	$479.04	$479.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $444.49	Professional		$324.48	$324.48	$444.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $574.98 / $1,293.71	Facility		$319.00	$574.98	$1,293.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $296.89 / $431.24 / $1,034.96	Professional		$296.89	$431.24	$1,034.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $345.68 / $412.31	Professional		$75.75	$345.68	$412.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $597.00	Facility		$444.49	$444.49	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $342.55 / $856.72	Professional		$324.48	$342.55	$856.72
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.23 / $347.37 / $525.89	Professional		$191.23	$347.37	$525.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $345.68 / $345.68 / $359.22	Facility		$345.68	$345.68	$359.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $345.68 / $367.28	Professional		$75.75	$345.68	$367.28