Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.38 / $2,127.46 / $2,450.89	Facility		$466.38	$2,127.46	$2,450.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.08 / $2,127.46 / $2,856.27	Professional		$782.08	$2,127.46	$2,856.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.05 / $959.92 / $4,481.66	Professional		$757.05	$959.92	$4,481.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $67.84 / $3,915.47	Facility		$67.84	$67.84	$3,915.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $3,915.47 / $3,983.32	Professional		$67.84	$3,915.47	$3,983.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.39 / $1,340.90 / $4,625.83	Facility		$942.39	$1,340.90	$4,625.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.01 / $700.86 / $1,419.90	Professional		$354.01	$700.86	$1,419.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $1,635.55	Facility		$332.00	$610.00	$1,635.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $749.93 / $1,349.62	Professional		$555.50	$749.93	$1,349.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.52 / $777.70 / $1,226.42	Professional		$456.52	$777.70	$1,226.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $486.93 / $1,327.12 / $4,980.85	Facility		$486.93	$1,327.12	$4,980.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $333.39 / $710.14 / $2,749.68	Professional		$333.39	$710.14	$2,749.68
United Facility/Professional Professional Modifier Low / Median / High Price $635.08 / $1,765.87 / $4,471.60	Professional		$635.08	$1,765.87	$4,471.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $672.99 / $672.99 / $1,982.10	Facility		$672.99	$672.99	$1,982.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $479.12 / $882.41 / $1,670.53	Professional		$479.12	$882.41	$1,670.53