Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $647.80 / $1,161.18	Facility		$171.97	$647.80	$1,161.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $134.35 / $209.54	Professional		$130.66	$134.35	$209.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $98.61 / $519.35	Professional		$98.61	$98.61	$519.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Facility		$407.43	$407.43	$407.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $297.42 / $407.43 / $407.43	Professional		$297.42	$407.43	$407.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.94 / $825.34 / $1,057.58	Facility		$409.94	$825.34	$1,057.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.21 / $594.79 / $1,963.81	Professional		$144.21	$594.79	$1,963.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $529.66 / $916.72	Facility		$294.00	$529.66	$916.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.80 / $537.80 / $884.12	Professional		$427.80	$537.80	$884.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $407.43 / $738.79	Professional		$346.32	$407.43	$738.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $409.94 / $994.39 / $1,057.58	Facility		$409.94	$994.39	$1,057.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $374.84 / $839.31	Professional		$160.24	$374.84	$839.31
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $387.00	Professional		$103.54	$147.91	$387.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $468.53 / $468.53	Facility		$407.43	$468.53	$468.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $407.43 / $489.70	Professional		$346.32	$407.43	$489.70