Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.67 / $373.82 / $691.95	Facility		$315.67	$373.82	$691.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.67 / $373.82 / $541.55	Professional		$315.67	$373.82	$541.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.99 / $876.17 / $1,717.98	Facility		$858.99	$876.17	$1,717.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $391.77 / $1,194.89	Professional		$391.77	$391.77	$1,194.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $665.57 / $715.67 / $715.67	Facility		$665.57	$715.67	$715.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $715.67 / $715.67 / $715.67	Professional		$715.67	$715.67	$715.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $402.56	Professional		$293.87	$293.87	$402.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $858.99 / $1,932.73	Facility		$319.00	$858.99	$1,932.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $443.56 / $618.47 / $1,546.18	Professional		$443.56	$618.47	$1,546.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.73 / $521.73 / $521.73	Facility		$521.73	$521.73	$521.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.76 / $521.73 / $626.08	Professional		$496.76	$521.73	$626.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $858.99	Facility		$402.56	$402.56	$858.99
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $402.56 / $1,230.47	Professional		$293.87	$402.56	$1,230.47
United Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $463.75 / $785.66	Professional		$285.70	$463.75	$785.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $496.76 / $496.76 / $536.66	Facility		$496.76	$496.76	$536.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $496.76 / $496.76 / $527.80	Professional		$496.76	$496.76	$527.80