Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.53 / $880.95 / $1,434.69	Facility		$411.53	$880.95	$1,434.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $274.35 / $427.89	Professional		$274.35	$274.35	$427.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $509.69	Professional		$28.88	$28.88	$509.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $503.40 / $503.40	Facility		$503.40	$503.40	$503.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $503.40 / $503.40	Professional		$367.48	$503.40	$503.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.76 / $1,019.66 / $1,306.58	Facility		$351.76	$1,019.66	$1,306.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $722.75 / $2,426.39	Professional		$578.20	$722.75	$2,426.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $654.41 / $1,132.65	Facility		$319.00	$654.41	$1,132.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $297.01 / $941.36	Professional		$201.36	$297.01	$941.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $478.23 / $569.63	Professional		$315.27	$478.23	$569.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $490.82 / $1,068.06 / $1,306.58	Facility		$490.82	$1,068.06	$1,306.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $503.40 / $1,037.00	Professional		$327.20	$503.40	$1,037.00
United Facility/Professional Facility Modifier Low / Median / High Price $453.06 / $453.06 / $503.40	Facility		$453.06	$453.06	$503.40
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $302.04 / $755.10	Professional		$211.43	$302.04	$755.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $503.40 / $578.90 / $578.90	Facility		$503.40	$578.90	$578.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $315.27 / $503.40 / $605.04	Professional		$315.27	$503.40	$605.04