Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.15 / $208.60 / $386.13	Facility		$176.15	$208.60	$386.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $208.60 / $302.20	Professional		$176.15	$208.60	$302.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.35 / $488.94 / $958.70	Facility		$479.35	$488.94	$958.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $245.26 / $731.78	Professional		$245.26	$245.26	$731.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $371.41 / $399.37 / $399.37	Facility		$371.41	$399.37	$399.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $399.37 / $399.37 / $399.37	Professional		$399.37	$399.37	$399.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $299.52	Professional		$218.65	$218.65	$299.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $479.35 / $1,078.54	Facility		$319.00	$479.35	$1,078.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $345.13 / $862.83	Professional		$247.52	$345.13	$862.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $297.95 / $297.95	Facility		$297.95	$297.95	$297.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $297.95 / $357.54	Professional		$288.18	$297.95	$357.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $555.00	Facility		$299.52	$299.52	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $285.57 / $670.78	Professional		$218.65	$285.57	$670.78
United Facility/Professional Facility Modifier Low / Median / High Price $544.49 / $544.49 / $544.49	Facility		$544.49	$544.49	$544.49
United Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $272.25 / $408.36	Professional		$159.43	$272.25	$408.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $288.18 / $299.49	Facility		$288.18	$288.18	$299.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $288.18 / $306.20	Professional		$288.18	$288.18	$306.20