Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.29 / $231.26 / $428.08	Facility		$195.29	$231.26	$428.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $234.44 / $335.04	Professional		$195.29	$234.44	$335.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.41 / $542.04 / $1,062.83	Facility		$531.41	$542.04	$1,062.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $427.50 / $936.42	Professional		$427.50	$427.50	$936.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $411.76 / $442.75 / $442.75	Facility		$411.76	$442.75	$442.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $442.75 / $442.75 / $442.75	Professional		$442.75	$442.75	$442.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $388.32	Professional		$330.07	$330.07	$388.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $531.41 / $1,195.70	Facility		$319.00	$531.41	$1,195.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $313.54 / $398.57 / $968.25	Professional		$313.54	$398.57	$968.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.62 / $358.62 / $358.62	Facility		$358.62	$358.62	$358.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.48 / $339.45 / $442.75	Professional		$319.48	$339.45	$442.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $597.00	Facility		$388.32	$388.32	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $328.45 / $330.07 / $788.91	Professional		$328.45	$330.07	$788.91
United Facility/Professional Professional Modifier Low / Median / High Price $176.75 / $318.85 / $458.05	Professional		$176.75	$318.85	$458.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $284.06 / $319.48 / $319.48	Facility		$284.06	$319.48	$319.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $319.48 / $319.48 / $339.45	Professional		$319.48	$319.48	$339.45