Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.20 / $920.90 / $1,499.76	Facility		$430.20	$920.90	$1,499.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.80 / $286.80 / $447.30	Professional		$286.80	$286.80	$447.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $532.80	Professional		$69.92	$69.92	$532.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $526.23 / $526.23	Facility		$526.23	$526.23	$526.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $384.15 / $526.23 / $526.23	Professional		$384.15	$526.23	$526.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $1,065.58 / $1,365.44	Facility		$367.72	$1,065.58	$1,365.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $755.79 / $2,536.42	Professional		$604.63	$755.79	$2,536.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $684.10 / $1,184.02	Facility		$319.00	$684.10	$1,184.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $310.48 / $984.05	Professional		$210.49	$310.48	$984.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $499.92 / $595.46	Professional		$329.58	$499.92	$595.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $513.08 / $1,116.21 / $1,365.44	Facility		$513.08	$1,116.21	$1,365.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $342.05 / $526.23 / $1,084.03	Professional		$342.05	$526.23	$1,084.03
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $315.74 / $772.89	Professional		$221.02	$315.74	$772.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $605.15 / $605.15	Facility		$526.23	$605.15	$605.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $526.23 / $632.48	Professional		$329.58	$526.23	$632.48