Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.27 / $891.10 / $1,451.22	Facility		$416.27	$891.10	$1,451.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $277.51 / $432.82	Professional		$277.51	$277.51	$432.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $515.57	Professional		$69.92	$69.92	$515.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $509.20 / $509.20	Facility		$509.20	$509.20	$509.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $371.72 / $509.20 / $509.20	Professional		$371.72	$509.20	$509.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.81 / $1,030.97 / $1,321.08	Facility		$355.81	$1,030.97	$1,321.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $731.53 / $2,454.34	Professional		$585.22	$731.53	$2,454.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $661.96 / $1,145.70	Facility		$319.00	$661.96	$1,145.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.68 / $300.43 / $952.20	Professional		$203.68	$300.43	$952.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.91 / $483.74 / $576.19	Professional		$318.91	$483.74	$576.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $496.47 / $1,080.28 / $1,321.08	Facility		$496.47	$1,080.28	$1,321.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $330.98 / $509.20 / $1,048.95	Professional		$330.98	$509.20	$1,048.95
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $305.52 / $789.26	Professional		$213.86	$305.52	$789.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $585.57 / $585.57	Facility		$509.20	$585.57	$585.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.91 / $509.20 / $612.02	Professional		$318.91	$509.20	$612.02