Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.81 / $748.71 / $762.99	Facility		$492.81	$748.71	$762.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.93 / $658.27 / $762.99	Professional		$459.93	$658.27	$762.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.87 / $578.66 / $1,153.40	Professional		$491.87	$578.66	$1,153.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $873.67 / $873.67 / $873.67	Facility		$873.67	$873.67	$873.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $873.67 / $873.67 / $873.67	Professional		$873.67	$873.67	$873.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.70 / $1,677.95 / $1,958.29	Facility		$1,392.70	$1,677.95	$1,958.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.85 / $3,277.21 / $3,277.21	Professional		$581.85	$3,277.21	$3,277.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $893.25 / $893.25	Professional		$893.25	$893.25	$893.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.49 / $880.00 / $1,322.70	Professional		$611.49	$880.00	$1,322.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,388.82 / $1,717.90 / $1,958.29	Facility		$1,388.82	$1,717.90	$1,958.29
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $581.85 / $3,277.21 / $3,277.21	Professional		$581.85	$3,277.21	$3,277.21
United Facility/Professional Professional Modifier Low / Median / High Price $502.60 / $661.72 / $1,567.97	Professional		$502.60	$661.72	$1,567.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $611.49 / $611.49 / $790.49	Facility		$611.49	$611.49	$790.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $611.49 / $710.04 / $1,180.17	Professional		$611.49	$710.04	$1,180.17