Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.33 / $232.50 / $430.36	Facility		$196.33	$232.50	$430.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $232.50 / $336.82	Professional		$196.33	$232.50	$336.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.25 / $544.94 / $1,068.50	Facility		$534.25	$544.94	$1,068.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.41 / $254.41 / $780.41	Professional		$254.41	$254.41	$780.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $413.95 / $445.11 / $445.11	Facility		$413.95	$445.11	$445.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $445.11 / $445.11 / $445.11	Professional		$445.11	$445.11	$445.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $360.86	Facility		$360.86	$360.86	$360.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $263.43 / $360.86	Professional		$263.43	$263.43	$360.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $534.25 / $1,202.06	Facility		$319.00	$534.25	$1,202.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.87 / $384.66 / $961.65	Professional		$275.87	$384.66	$961.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.30 / $333.30 / $333.30	Facility		$333.30	$333.30	$333.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $333.30 / $399.96	Professional		$321.20	$333.30	$399.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $360.86 / $560.53	Facility		$360.86	$360.86	$560.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $318.30 / $796.03	Professional		$263.43	$318.30	$796.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.69 / $291.45 / $488.64	Professional		$177.69	$291.45	$488.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $321.20 / $321.20 / $333.78	Facility		$321.20	$321.20	$333.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $321.20 / $341.26	Professional		$321.20	$321.20	$341.26