Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.24 / $666.26 / $1,085.05	Facility		$311.24	$666.26	$1,085.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $323.61	Professional		$207.49	$207.49	$323.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.61 / $336.26 / $650.46	Professional		$232.61	$336.26	$650.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $380.72 / $380.72	Facility		$380.72	$380.72	$380.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $277.93 / $380.72 / $380.72	Professional		$277.93	$380.72	$380.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $770.93 / $987.86	Facility		$266.02	$770.93	$987.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $546.71 / $1,835.07	Professional		$437.37	$546.71	$1,835.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $494.94 / $856.62	Facility		$319.00	$494.94	$856.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.29 / $224.62 / $711.95	Professional		$152.29	$224.62	$711.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.44 / $361.68 / $430.81	Professional		$238.44	$361.68	$430.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.21 / $807.15 / $987.86	Facility		$371.21	$807.15	$987.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $247.47 / $380.72 / $784.28	Professional		$247.47	$380.72	$784.28
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $228.43 / $571.29	Professional		$159.90	$228.43	$571.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $437.82 / $437.82	Facility		$380.72	$437.82	$437.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $238.44 / $380.72 / $457.59	Professional		$238.44	$380.72	$457.59