Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.18 / $296.27 / $548.41	Facility		$250.18	$296.27	$548.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $326.57 / $429.21	Professional		$250.18	$326.57	$429.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.80 / $694.42 / $1,361.60	Facility		$680.80	$694.42	$1,361.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.18 / $408.18 / $1,087.79	Professional		$408.18	$408.18	$1,087.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $527.50 / $567.20 / $567.20	Facility		$527.50	$567.20	$567.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $567.20 / $567.20	Professional		$567.20	$567.20	$567.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $419.41	Professional		$306.17	$306.17	$419.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $680.80 / $1,531.80	Facility		$319.00	$680.80	$1,531.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $510.60 / $1,225.44	Professional		$363.60	$510.60	$1,225.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.50 / $454.50 / $454.50	Facility		$454.50	$454.50	$454.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.29 / $434.87 / $545.40	Professional		$409.29	$434.87	$545.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $680.80	Facility		$419.41	$419.41	$680.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $405.60 / $1,118.91	Professional		$306.17	$405.60	$1,118.91
United Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $408.48 / $622.67	Professional		$226.43	$408.48	$622.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $409.29 / $409.29 / $425.34	Facility		$409.29	$409.29	$425.34
Univera Facility/Professional Professional Modifier Low / Median / High Price $409.29 / $409.29 / $454.50	Professional		$409.29	$409.29	$454.50