Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $356.55	Facility		$349.02	$349.02	$356.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $362.98	Professional		$349.02	$349.02	$362.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $631.21	Professional		$349.02	$349.02	$631.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $440.00	Facility		$400.00	$400.00	$440.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.61 / $329.26 / $688.50	Facility		$222.61	$329.26	$688.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $378.65	Professional		$349.01	$349.01	$378.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $366.47 / $740.84	Facility		$319.00	$366.47	$740.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $349.02 / $471.18	Professional		$329.26	$349.02	$471.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $362.19	Facility		$349.02	$349.02	$362.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $362.19 / $362.19	Professional		$349.02	$362.19	$362.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $222.61 / $349.01 / $688.50	Facility		$222.61	$349.01	$688.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $436.26	Professional		$349.01	$349.01	$436.26
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $604.75	Professional		$349.02	$349.02	$604.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $362.19 / $362.19 / $362.19	Facility		$362.19	$362.19	$362.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $362.19 / $362.19	Professional		$349.02	$362.19	$362.19