Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $355.67 / $658.36	Facility		$300.33	$355.67	$658.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.33 / $358.21 / $515.27	Professional		$300.33	$358.21	$515.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $817.29 / $833.64 / $1,634.58	Facility		$817.29	$833.64	$1,634.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.93 / $348.93 / $1,102.82	Professional		$266.93	$348.93	$1,102.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $633.26 / $680.92 / $680.92	Facility		$633.26	$680.92	$680.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $680.92 / $680.92 / $680.92	Professional		$680.92	$680.92	$680.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $510.69	Facility		$510.69	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $510.69	Professional		$434.09	$434.09	$510.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $817.29 / $1,838.90	Facility		$319.00	$817.29	$1,838.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $482.20 / $612.97 / $1,489.10	Professional		$482.20	$612.97	$1,489.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $522.08 / $680.92	Professional		$491.37	$522.08	$680.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $817.29	Facility		$510.69	$510.69	$817.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $505.13 / $1,237.11	Professional		$434.09	$505.13	$1,237.11
United Facility/Professional Professional Modifier Low / Median / High Price $271.82 / $510.40 / $747.52	Professional		$271.82	$510.40	$747.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.87 / $491.37 / $491.37	Facility		$436.87	$491.37	$491.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $522.08	Professional		$491.37	$491.37	$522.08