Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.20 / $396.95 / $734.77	Facility		$335.20	$396.95	$734.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $396.95 / $575.08	Professional		$255.12	$396.95	$575.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.16 / $930.40 / $1,824.32	Facility		$912.16	$930.40	$1,824.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,518.75	Professional		$600.00	$600.00	$1,518.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $706.76 / $759.96 / $759.96	Facility		$706.76	$759.96	$759.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $759.96 / $759.96 / $759.96	Professional		$759.96	$759.96	$759.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $912.16 / $2,052.36	Facility		$319.00	$912.16	$2,052.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.16 / $684.12 / $1,641.89	Professional		$538.16	$684.12	$1,641.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.65 / $691.65 / $691.65	Facility		$691.65	$691.65	$691.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $582.66 / $759.96	Professional		$548.39	$582.66	$759.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $703.94 / $912.16	Facility		$597.00	$703.94	$912.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.18 / $598.35 / $1,151.25	Professional		$423.18	$598.35	$1,151.25
United Facility/Professional Professional Modifier Low / Median / High Price $303.38 / $526.90 / $832.56	Professional		$303.38	$526.90	$832.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $548.39 / $548.39 / $569.88	Facility		$548.39	$548.39	$569.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $548.39 / $548.39 / $691.65	Professional		$548.39	$548.39	$691.65