Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.50 / $596.25 / $1,068.75	Facility		$262.50	$596.25	$1,068.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $225.00 / $318.75	Professional		$198.75	$225.00	$318.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $150.00 / $562.39	Professional		$0.03	$150.00	$562.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $375.00 / $375.00	Professional		$273.75	$375.00	$375.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $759.62 / $973.38	Facility		$450.00	$759.62	$973.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $496.73 / $1,807.50	Professional		$219.38	$496.73	$1,807.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $487.50 / $843.75	Facility		$294.00	$487.50	$843.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $393.75 / $491.25 / $813.75	Professional		$393.75	$491.25	$813.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $370.36 / $679.99	Professional		$318.75	$370.36	$679.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $458.75 / $915.21 / $973.38	Facility		$458.75	$915.21	$973.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $408.75 / $862.50	Professional		$243.75	$408.75	$862.50
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $225.00 / $568.34	Professional		$157.50	$225.00	$568.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $431.24 / $431.24	Facility		$375.00	$431.24	$431.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $375.00 / $450.72	Professional		$318.75	$375.00	$450.72