Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.22 / $647.80 / $1,161.18	Facility		$284.22	$647.80	$1,161.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.94 / $222.05 / $305.57	Professional		$215.94	$222.05	$305.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $412.52	Professional		$98.11	$98.11	$412.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Facility		$407.43	$407.43	$407.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $297.42 / $407.43 / $407.43	Professional		$297.42	$407.43	$407.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.92 / $860.70 / $1,057.58	Facility		$488.92	$860.70	$1,057.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.44 / $1,963.81 / $1,963.81	Professional		$496.44	$1,963.81	$1,963.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $529.66 / $916.72	Facility		$294.00	$529.66	$916.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $427.80 / $537.80 / $884.12	Professional		$427.80	$537.80	$884.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $407.43 / $738.79	Professional		$346.32	$407.43	$738.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $488.92 / $994.39 / $1,057.58	Facility		$488.92	$994.39	$1,057.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $444.10 / $937.09	Professional		$264.83	$444.10	$937.09
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $244.46 / $617.49	Professional		$171.12	$244.46	$617.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $468.53 / $468.53	Facility		$407.43	$468.53	$468.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $407.43 / $489.70	Professional		$346.32	$407.43	$489.70