Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.65 / $394.31 / $547.53	Professional		$242.65	$394.31	$547.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.20 / $1,171.44 / $1,301.59	Facility		$976.20	$1,171.44	$1,301.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $277.85 / $1,031.98	Professional		$220.05	$277.85	$1,031.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $504.26 / $542.21 / $542.21	Facility		$504.26	$542.21	$542.21
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $542.21 / $542.21 / $542.21	Professional		$542.21	$542.21	$542.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.12 / $770.12 / $770.12	Facility		$770.12	$770.12	$770.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $878.58 / $1,412.24	Professional		$683.34	$878.58	$1,412.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $372.64 / $372.64	Facility		$372.64	$372.64	$372.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $372.64 / $650.79	Professional		$372.64	$372.64	$650.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $770.12	Facility		$555.00	$597.00	$770.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $1,125.94	Professional		$282.08	$282.08	$1,125.94
United Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $324.68 / $558.19	Professional		$216.45	$324.68	$558.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $395.93 / $650.79	Professional		$372.64	$395.93	$650.79