Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.67 / $285.00 / $527.55	Facility		$240.67	$285.00	$527.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $288.91 / $412.90	Professional		$240.67	$288.91	$412.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.91 / $668.02 / $1,309.83	Facility		$654.91	$668.02	$1,309.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.13 / $403.13 / $1,074.33	Professional		$403.13	$403.13	$1,074.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $507.45 / $545.64 / $545.64	Facility		$507.45	$545.64	$545.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $545.64 / $545.64 / $545.64	Professional		$545.64	$545.64	$545.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $434.07	Professional		$316.87	$316.87	$434.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $654.91 / $1,473.57	Facility		$319.00	$654.91	$1,473.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $484.64 / $1,178.85	Professional		$370.70	$484.64	$1,178.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.37 / $463.37 / $463.37	Facility		$463.37	$463.37	$463.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $418.33 / $545.64	Professional		$393.73	$418.33	$545.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $654.91	Facility		$434.07	$434.07	$654.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $404.77 / $972.19	Professional		$316.87	$404.77	$972.19
United Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $392.95 / $599.01	Professional		$217.82	$392.95	$599.01
Univera Facility/Professional Facility Modifier Low / Median / High Price $350.06 / $393.73 / $393.73	Facility		$350.06	$393.73	$393.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $393.73 / $393.73 / $463.37	Professional		$393.73	$393.73	$463.37