Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.08 / $850.72 / $2,059.00	Facility		$402.08	$850.72	$2,059.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $425.00 / $983.59	Professional		$354.37	$425.00	$983.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $350.11 / $1,134.75	Professional		$267.83	$350.11	$1,134.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $119.95 / $421.18	Facility		$119.95	$119.95	$421.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $421.18 / $541.14	Professional		$119.95	$421.18	$541.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.80 / $994.56 / $3,583.31	Facility		$439.80	$994.56	$3,583.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.42 / $673.46 / $1,694.64	Professional		$304.42	$673.46	$1,694.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $212.73 / $321.06 / $659.70	Facility		$212.73	$321.06	$659.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $485.42 / $790.64	Professional		$341.88	$485.42	$790.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $500.97 / $717.58	Professional		$306.22	$500.97	$717.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $994.56 / $1,497.18	Facility		$393.70	$994.56	$1,497.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.80 / $680.00 / $1,648.54	Professional		$333.80	$680.00	$1,648.54
United Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $461.03 / $1,005.12	Professional		$303.86	$461.03	$1,005.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $406.06 / $406.06 / $1,562.87	Facility		$406.06	$406.06	$1,562.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $337.39 / $508.55 / $964.22	Professional		$337.39	$508.55	$964.22