Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $625.85 / $1,019.25	Facility		$9.56	$625.85	$1,019.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $362.10	Professional		$4.25	$4.25	$362.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $357.63 / $357.63	Facility		$357.63	$357.63	$357.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $261.07 / $357.63 / $357.63	Professional		$261.07	$357.63	$357.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $724.28 / $928.09	Facility		$249.90	$724.28	$928.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $513.66 / $1,723.78	Professional		$410.94	$513.66	$1,723.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $464.92 / $804.67	Facility		$319.00	$464.92	$804.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $211.00 / $668.77	Professional		$143.05	$211.00	$668.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $339.75 / $404.68	Professional		$223.98	$339.75	$404.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $348.69 / $758.28 / $928.09	Facility		$348.69	$758.28	$928.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $357.63 / $736.72	Professional		$232.46	$357.63	$736.72
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $214.58 / $536.45	Professional		$150.19	$214.58	$536.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $411.27 / $411.27	Facility		$357.63	$411.27	$411.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $357.63 / $429.84	Professional		$223.98	$357.63	$429.84