Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $565.17 / $920.44	Facility		$274.52	$565.17	$920.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.57 / $195.57 / $274.52	Professional		$195.57	$195.57	$274.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $839.70	Facility		$322.95	$322.95	$839.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $435.87	Professional		$5.95	$5.95	$435.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Facility		$322.95	$322.95	$322.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $235.76 / $322.95 / $322.95	Professional		$235.76	$322.95	$322.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $654.32 / $838.45	Facility		$225.68	$654.32	$838.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $463.59 / $1,556.67	Professional		$209.93	$463.59	$1,556.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $419.85 / $726.66	Facility		$319.00	$419.85	$726.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $190.55 / $603.94	Professional		$129.18	$190.55	$603.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.75 / $306.81 / $362.72	Professional		$224.75	$306.81	$362.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $314.88 / $682.24 / $838.45	Facility		$314.88	$682.24	$838.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $269.14 / $665.30	Professional		$233.25	$269.14	$665.30
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $193.78 / $484.62	Professional		$135.63	$193.78	$484.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $371.40 / $371.40	Facility		$322.95	$371.40	$371.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $224.75 / $322.95 / $388.17	Professional		$224.75	$322.95	$388.17