Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.10 / $1,350.96 / $2,200.14	Facility		$631.10	$1,350.96	$2,200.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.73 / $420.73 / $656.18	Professional		$420.73	$420.73	$656.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $308.79 / $821.38	Professional		$107.68	$308.79	$821.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $771.98 / $771.98 / $771.98	Facility		$771.98	$771.98	$771.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $563.54 / $771.98 / $771.98	Professional		$563.54	$771.98	$771.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.44 / $1,563.04 / $2,002.88	Facility		$539.44	$1,563.04	$2,002.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $1,108.91 / $3,720.94	Professional		$887.12	$1,108.91	$3,720.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,003.57 / $1,736.96	Facility		$319.00	$1,003.57	$1,736.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $455.47 / $1,443.60	Professional		$308.79	$455.47	$1,443.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.49 / $733.38 / $873.54	Professional		$483.49	$733.38	$873.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,637.31 / $2,002.88	Facility		$597.00	$1,637.31	$2,002.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $501.79 / $771.98 / $1,590.28	Professional		$501.79	$771.98	$1,590.28
United Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $463.19 / $1,196.57	Professional		$324.23	$463.19	$1,196.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $771.98 / $887.76 / $887.76	Facility		$771.98	$887.76	$887.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $483.49 / $771.98 / $927.86	Professional		$483.49	$771.98	$927.86