Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.39 / $259.81 / $480.92	Facility		$219.39	$259.81	$480.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $282.30 / $376.39	Professional		$219.39	$282.30	$376.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $608.96 / $1,194.04	Facility		$597.02	$608.96	$1,194.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $412.43 / $1,031.07	Professional		$412.43	$412.43	$1,031.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $462.58 / $497.40 / $497.40	Facility		$462.58	$497.40	$497.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $497.40 / $497.40 / $497.40	Professional		$497.40	$497.40	$497.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $386.20	Facility		$386.20	$386.20	$386.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $386.20	Professional		$281.93	$281.93	$386.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $597.02 / $1,343.30	Facility		$319.00	$597.02	$1,343.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.27 / $441.79 / $1,074.64	Professional		$308.27	$441.79	$1,074.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $179.28 / $179.28	Facility		$179.28	$179.28	$179.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $358.92 / $428.11	Professional		$179.28	$358.92	$428.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $597.02	Facility		$386.20	$386.20	$597.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $365.94 / $925.38	Professional		$281.93	$365.94	$925.38
United Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $358.21 / $546.04	Professional		$198.56	$358.21	$546.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $319.13 / $358.92 / $358.92	Facility		$319.13	$358.92	$358.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $358.92 / $381.36	Professional		$179.28	$358.92	$381.36