Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.43 / $284.72 / $527.02	Facility		$240.43	$284.72	$527.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.43 / $294.70 / $412.47	Professional		$240.43	$294.70	$412.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.24 / $667.32 / $1,308.48	Facility		$654.24	$667.32	$1,308.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.22 / $411.22 / $1,089.30	Professional		$411.22	$411.22	$1,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $506.92 / $545.08 / $545.08	Facility		$506.92	$545.08	$545.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $545.08 / $545.08 / $545.08	Professional		$545.08	$545.08	$545.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $528.47	Facility		$528.47	$528.47	$528.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $385.78 / $528.47	Professional		$385.78	$385.78	$528.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $654.24 / $1,472.04	Facility		$319.00	$654.24	$1,472.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $386.00 / $496.10 / $1,177.63	Professional		$386.00	$496.10	$1,177.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.10 / $496.10 / $496.10	Facility		$496.10	$496.10	$496.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.35 / $417.93 / $545.08	Professional		$393.35	$417.93	$545.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $528.47 / $654.24	Facility		$528.47	$528.47	$654.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $389.78 / $974.82	Professional		$385.78	$389.78	$974.82
United Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $392.54 / $588.82	Professional		$217.60	$392.54	$588.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $393.35 / $393.35 / $408.75	Facility		$393.35	$393.35	$408.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.35 / $393.35 / $496.10	Professional		$393.35	$393.35	$496.10