Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $880.95 / $1,434.69	Facility		$427.89	$880.95	$1,434.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $274.35 / $427.89	Professional		$251.69	$274.35	$427.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $503.40 / $1,177.96	Facility		$55.00	$503.40	$1,177.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $201.36 / $694.54	Professional		$126.85	$201.36	$694.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $503.40 / $503.40	Facility		$503.40	$503.40	$503.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $503.40 / $503.40	Professional		$367.48	$503.40	$503.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.76 / $1,019.66 / $1,306.58	Facility		$351.76	$1,019.66	$1,306.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.00 / $656.25 / $2,426.39	Professional		$525.00	$656.25	$2,426.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $654.41 / $1,132.65	Facility		$319.00	$654.41	$1,132.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $297.01 / $941.36	Professional		$201.36	$297.01	$941.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $478.23 / $565.37	Professional		$315.27	$478.23	$565.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $490.82 / $1,063.43 / $1,306.58	Facility		$490.82	$1,063.43	$1,306.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $481.00 / $1,037.00	Professional		$327.20	$481.00	$1,037.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $739.36	Professional		$211.43	$302.04	$739.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $578.90 / $578.90	Facility		$503.40	$578.90	$578.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $478.23 / $605.04	Professional		$315.27	$478.23	$605.04