Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.12 / $326.99 / $605.26	Facility		$276.12	$326.99	$605.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.12 / $355.28 / $473.71	Professional		$276.12	$355.28	$473.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.38 / $766.41 / $1,502.76	Facility		$751.38	$766.41	$1,502.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.77 / $459.77 / $1,225.28	Professional		$459.77	$459.77	$1,225.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $582.19 / $626.01 / $626.01	Facility		$582.19	$626.01	$626.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $626.01 / $626.01 / $626.01	Professional		$626.01	$626.01	$626.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $644.36	Facility		$644.36	$644.36	$644.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.38 / $470.38 / $644.36	Professional		$470.38	$470.38	$644.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $751.38 / $1,690.61	Facility		$319.00	$751.38	$1,690.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.99 / $563.54 / $1,352.48	Professional		$387.99	$563.54	$1,352.48
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $280.77 / $280.77	Facility		$280.77	$280.77	$280.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $451.73 / $538.80	Professional		$280.77	$451.73	$538.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $644.36 / $751.38	Facility		$597.00	$644.36	$751.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $447.64 / $470.38 / $1,137.33	Professional		$447.64	$470.38	$1,137.33
United Facility/Professional Professional Modifier Low / Median / High Price $249.90 / $450.83 / $687.24	Professional		$249.90	$450.83	$687.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $451.73 / $451.73 / $469.43	Facility		$451.73	$451.73	$469.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $451.73 / $479.97	Professional		$280.77	$451.73	$479.97