Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.60 / $290.85 / $538.37	Facility		$245.60	$290.85	$538.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $344.75 / $421.35	Professional		$245.60	$344.75	$421.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $681.70 / $1,336.66	Facility		$668.33	$681.70	$1,336.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.98 / $424.98 / $1,113.78	Professional		$424.98	$424.98	$1,113.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $517.83 / $556.80 / $556.80	Facility		$517.83	$556.80	$556.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $556.80 / $556.80 / $556.80	Professional		$556.80	$556.80	$556.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $564.36	Professional		$411.98	$411.98	$564.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $668.33 / $1,503.74	Facility		$319.00	$668.33	$1,503.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $501.25 / $1,202.99	Professional		$363.60	$501.25	$1,202.99
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 $401.80 / $426.92 / $545.40	Professional		$401.80	$426.92	$545.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $668.33	Facility		$564.36	$564.36	$668.33
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $413.06 / $1,011.64	Professional		$411.98	$413.06	$1,011.64
United Facility/Professional Professional Modifier Low / Median / High Price $222.28 / $434.41 / $576.05	Professional		$222.28	$434.41	$576.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $357.25 / $401.80 / $401.80	Facility		$357.25	$401.80	$401.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.80 / $401.80 / $454.50	Professional		$401.80	$401.80	$454.50