Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.32 / $769.18 / $1,328.58	Facility		$326.32	$769.18	$1,328.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $279.70 / $396.24	Professional		$247.07	$279.70	$396.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $466.17 / $1,212.04	Facility		$466.17	$466.17	$1,212.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $279.68 / $1,207.73	Professional		$279.68	$279.68	$1,207.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $466.17 / $466.17	Facility		$466.17	$466.17	$466.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $466.17 / $466.17	Professional		$340.30	$466.17	$466.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $944.05 / $1,209.70	Facility		$559.40	$944.05	$1,209.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $1,875.37 / $2,246.94	Professional		$272.70	$1,875.37	$2,246.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $606.02 / $1,048.88	Facility		$294.00	$606.02	$1,048.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.48 / $615.34 / $1,011.59	Professional		$489.48	$615.34	$1,011.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.24 / $460.41 / $845.30	Professional		$396.24	$460.41	$845.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $1,137.41 / $1,209.70	Facility		$559.40	$1,137.41	$1,209.70
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $508.13 / $1,128.13	Professional		$303.01	$508.13	$1,128.13
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $824.58	Professional		$195.79	$279.70	$824.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $536.08 / $536.08	Facility		$466.17	$536.08	$536.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $396.24 / $466.17 / $560.29	Professional		$396.24	$466.17	$560.29