Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.80 / $306.47 / $567.29	Facility		$258.80	$306.47	$567.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $307.12 / $443.99	Professional		$258.80	$307.12	$443.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.24 / $718.32 / $1,408.48	Facility		$704.24	$718.32	$1,408.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.28 / $426.28 / $1,136.03	Professional		$426.28	$426.28	$1,136.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $545.66 / $586.73 / $586.73	Facility		$545.66	$586.73	$586.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $586.73 / $586.73 / $586.73	Professional		$586.73	$586.73	$586.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $384.89 / $527.25	Professional		$384.89	$384.89	$527.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $704.24 / $1,584.54	Facility		$319.00	$704.24	$1,584.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $415.50 / $528.17 / $1,283.13	Professional		$415.50	$528.17	$1,283.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $449.85 / $586.73	Professional		$423.39	$449.85	$586.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $704.24	Facility		$527.25	$527.25	$704.24
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $384.89 / $435.26 / $1,049.32	Professional		$384.89	$435.26	$1,049.32
United Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $422.54 / $633.82	Professional		$234.22	$422.54	$633.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $423.39 / $423.39 / $423.39	Facility		$423.39	$423.39	$423.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $423.39 / $449.85	Professional		$423.39	$423.39	$449.85