Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.12 / $289.81 / $410.53	Facility	54	$218.12	$289.81	$410.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $333.53 / $701.03	Professional		$264.06	$333.53	$701.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $325.82 / $752.80	Professional		$250.47	$325.82	$752.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $419.92 / $419.92 / $473.87	Professional		$419.92	$419.92	$473.87
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $458.76 / $1,140.90	Professional		$302.08	$458.76	$1,140.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $377.59 / $536.36 / $791.11	Professional		$377.59	$536.36	$791.11
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $256.16 / $256.16 / $256.16	Facility	54	$256.16	$256.16	$256.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.02 / $412.85 / $728.28	Professional		$258.02	$412.85	$728.28
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $309.22 / $474.10 / $1,129.64	Professional		$309.22	$474.10	$1,129.64
United Facility/Professional Professional Modifier Low / Median / High Price $291.07 / $419.78 / $1,006.15	Professional		$291.07	$419.78	$1,006.15
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $256.16 / $289.02 / $289.02	Facility	54	$256.16	$289.02	$289.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $280.74 / $451.87 / $777.79	Professional		$280.74	$451.87	$777.79