Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.72 / $676.34 / $1,168.21	Facility		$317.72	$676.34	$1,168.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $248.22 / $307.43	Professional		$241.39	$248.22	$307.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $1,065.74	Facility		$409.90	$409.90	$1,065.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $614.73	Professional		$80.97	$80.97	$614.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $409.90	Facility		$409.90	$409.90	$409.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $299.23 / $409.90 / $409.90	Professional		$299.23	$409.90	$409.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $830.27 / $1,063.92	Facility		$491.88	$830.27	$1,063.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $597.94 / $1,975.72	Professional		$266.44	$597.94	$1,975.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $532.87 / $922.28	Facility		$294.00	$532.87	$922.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $430.40 / $541.07 / $889.48	Professional		$430.40	$541.07	$889.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.42 / $409.90 / $743.27	Professional		$348.42	$409.90	$743.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $501.11 / $1,000.33 / $1,063.92	Facility		$501.11	$1,000.33	$1,063.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $296.04 / $446.79 / $1,025.23	Professional		$296.04	$446.79	$1,025.23
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $245.94 / $623.97	Professional		$172.16	$245.94	$623.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $471.37 / $471.37	Facility		$409.90	$471.37	$471.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $348.42 / $409.90 / $492.67	Professional		$348.42	$409.90	$492.67