Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.59 / $1,180.21 / $2,115.46	Facility		$519.59	$1,180.21	$2,115.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.40 / $445.36 / $630.92	Professional		$393.40	$445.36	$630.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $699.20 / $1,812.03	Professional		$699.20	$699.20	$1,812.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $742.27 / $742.27	Facility		$742.27	$742.27	$742.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $541.86 / $742.27 / $742.27	Professional		$541.86	$742.27	$742.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.72 / $1,568.06 / $2,672.47	Facility		$890.72	$1,568.06	$2,672.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $1,083.64 / $3,577.74	Professional		$593.82	$1,083.64	$3,577.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $890.72 / $1,670.11	Facility		$294.00	$890.72	$1,670.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $779.38 / $979.80 / $1,610.73	Professional		$779.38	$979.80	$1,610.73
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.92 / $733.09 / $1,345.95	Professional		$630.92	$733.09	$1,345.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,568.06 / $2,672.47	Facility		$597.00	$1,568.06	$2,672.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $927.84 / $1,707.22	Professional		$482.48	$927.84	$1,707.22
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $445.36 / $1,124.97	Professional		$311.75	$445.36	$1,124.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $853.59 / $853.59	Facility		$742.27	$853.59	$853.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.92 / $742.27 / $892.15	Professional		$630.92	$742.27	$892.15