Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $746.04 / $1,842.14	Facility		$416.78	$746.04	$1,842.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $490.19 / $539.22	Professional		$416.78	$490.19	$539.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $166.71 / $562.49	Professional		$166.71	$166.71	$562.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $35.09	Facility		$21.05	$35.09	$35.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.09 / $35.09	Professional		$25.62	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.92 / $884.33 / $1,022.77	Facility		$749.92	$884.33	$1,022.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.69 / $608.27 / $2,008.88	Professional		$507.69	$608.27	$2,008.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $416.78 / $937.76	Facility		$332.00	$416.78	$937.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $512.64 / $904.41	Professional		$291.75	$512.64	$904.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $416.78 / $755.74	Professional		$354.26	$416.78	$755.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $880.46 / $1,499.84	Facility		$555.00	$880.46	$1,499.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $454.29 / $958.59	Professional		$416.78	$454.29	$958.59
United Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $256.77 / $701.93	Professional		$166.67	$256.77	$701.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $479.29 / $479.29	Facility		$416.78	$479.29	$479.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.26 / $416.78 / $500.94	Professional		$354.26	$416.78	$500.94