Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.44 / $566.25 / $1,014.97	Facility		$248.44	$566.25	$1,014.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $234.16 / $302.70	Professional		$188.75	$234.16	$302.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $55.00 / $64.00	Facility		$49.00	$55.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $241.31 / $643.09	Professional		$241.31	$241.31	$643.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $356.13 / $356.13	Facility		$356.13	$356.13	$356.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $259.97 / $356.13 / $356.13	Professional		$259.97	$356.13	$356.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.36 / $752.31 / $924.47	Facility		$427.36	$752.31	$924.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $1,716.55 / $1,716.55	Professional		$433.84	$1,716.55	$1,716.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $462.97 / $801.29	Facility		$319.00	$462.97	$801.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $373.94 / $470.09 / $772.80	Professional		$373.94	$470.09	$772.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $356.13 / $645.77	Professional		$302.70	$356.13	$645.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $427.36 / $869.22 / $924.47	Facility		$427.36	$869.22	$924.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $388.18 / $819.10	Professional		$231.48	$388.18	$819.10
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $213.68 / $570.52	Professional		$149.57	$213.68	$570.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $409.54 / $409.54	Facility		$356.13	$409.54	$409.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $356.13 / $428.04	Professional		$302.70	$356.13	$428.04