Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.84 / $533.76 / $1,213.71	Facility		$234.84	$533.76	$1,213.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.31 / $926.78 / $1,414.37	Professional		$371.31	$926.78	$1,414.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.68 / $610.13 / $2,255.25	Professional		$481.68	$610.13	$2,255.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $80.43 / $1,924.02	Facility		$80.43	$80.43	$1,924.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $1,924.02 / $2,004.45	Professional		$80.43	$1,924.02	$2,004.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $697.28 / $1,992.35	Facility		$423.00	$697.28	$1,992.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.11 / $365.90 / $814.04	Professional		$199.11	$365.90	$814.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $319.00 / $704.45	Facility		$217.74	$319.00	$704.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $371.18 / $645.60	Professional		$274.95	$371.18	$645.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Facility		$50.50	$50.50	$50.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $340.07 / $609.47	Professional		$221.57	$340.07	$609.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $279.62 / $690.11 / $2,213.71	Facility		$279.62	$690.11	$2,213.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $191.51 / $373.93 / $1,635.62	Professional		$191.51	$373.93	$1,635.62
United Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $1,568.26 / $3,414.37	Professional		$384.00	$1,568.26	$3,414.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $334.44 / $334.44 / $818.83	Facility		$334.44	$334.44	$818.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $232.54 / $436.76 / $818.83	Professional		$232.54	$436.76	$818.83