Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.79 / $1,075.03 / $2,259.17	Facility		$645.79	$1,075.03	$2,259.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $766.07 / $1,359.96	Professional		$566.08	$766.07	$1,359.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.42 / $756.26 / $2,093.82	Professional		$596.42	$756.26	$2,093.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $97.45 / $898.53	Facility		$97.45	$97.45	$898.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $898.53 / $995.98	Professional		$97.45	$898.53	$995.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,560.97 / $2,128.12 / $5,106.59	Facility		$1,560.97	$2,128.12	$5,106.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.07 / $1,124.65 / $2,268.94	Professional		$654.07	$1,124.65	$2,268.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.91 / $1,586.50	Facility		$332.00	$648.91	$1,586.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $901.57 / $1,367.89	Professional		$572.69	$901.57	$1,367.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.42 / $870.48 / $1,178.89	Professional		$497.42	$870.48	$1,178.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $2,128.12 / $2,404.48	Facility		$254.50	$2,128.12	$2,404.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $1,108.19 / $2,264.42	Professional		$618.75	$1,108.19	$2,264.42
United Facility/Professional Professional Modifier Low / Median / High Price $510.04 / $780.31 / $1,695.67	Professional		$510.04	$780.31	$1,695.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $721.66 / $1,016.25	Facility		$603.66	$721.66	$1,016.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $552.62 / $987.68 / $1,717.87	Professional		$552.62	$987.68	$1,717.87