Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.34 / $277.51 / $513.69	Facility		$234.34	$277.51	$513.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $277.51 / $402.04	Professional		$234.34	$277.51	$402.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.69 / $650.44 / $1,275.38	Facility		$637.69	$650.44	$1,275.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $289.94 / $884.31	Professional		$289.94	$289.94	$884.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $494.10 / $531.29 / $531.29	Facility		$494.10	$531.29	$531.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $531.29 / $531.29 / $531.29	Professional		$531.29	$531.29	$531.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $298.85	Professional		$218.16	$218.16	$298.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $637.69 / $1,434.80	Facility		$319.00	$637.69	$1,434.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $329.28 / $459.14 / $1,147.83	Professional		$329.28	$459.14	$1,147.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.31 / $387.31 / $387.31	Facility		$387.31	$387.31	$387.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $387.31 / $464.77	Professional		$368.78	$387.31	$464.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $637.69	Facility		$298.85	$298.85	$637.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $298.85 / $894.38	Professional		$218.16	$298.85	$894.38
United Facility/Professional Professional Modifier Low / Median / High Price $212.09 / $342.68 / $583.25	Professional		$212.09	$342.68	$583.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $368.78 / $368.78 / $398.41	Facility		$368.78	$368.78	$398.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $368.78 / $391.83	Professional		$368.78	$368.78	$391.83