Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $766.60 / $1,374.10	Facility		$144.61	$766.60	$1,374.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $112.98 / $176.21	Professional		$109.87	$112.98	$176.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $109.93 / $482.14	Professional		$82.28	$109.93	$482.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $482.14 / $482.14	Facility		$482.14	$482.14	$482.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $482.14 / $482.14	Professional		$351.96	$482.14	$482.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.54 / $505.71 / $1,018.52	Facility		$410.54	$505.71	$1,018.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $1,875.37 / $2,323.91	Professional		$587.50	$1,875.37	$2,323.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $610.00 / $1,084.82	Facility		$294.00	$610.00	$1,084.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $506.25 / $636.41 / $1,046.24	Professional		$506.25	$636.41	$1,046.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.58 / $458.03 / $874.26	Professional		$234.58	$458.03	$874.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $338.91 / $522.19 / $1,018.52	Facility		$338.91	$522.19	$1,018.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $520.71 / $1,108.92	Professional		$130.00	$520.71	$1,108.92
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $382.74	Professional		$87.07	$124.39	$382.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $554.45 / $554.45	Facility		$482.14	$554.45	$554.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $409.82 / $482.14 / $579.49	Professional		$409.82	$482.14	$579.49