Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.20 / $773.06 / $2,069.89	Facility		$404.20	$773.06	$2,069.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $573.75 / $1,094.66	Professional		$404.20	$573.75	$1,094.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.69 / $467.50 / $1,290.84	Professional		$368.69	$467.50	$1,290.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $794.45	Facility		$118.09	$118.09	$794.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $794.45 / $912.54	Professional		$118.09	$794.45	$912.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,340.39 / $1,882.20 / $2,913.17	Facility		$1,340.39	$1,882.20	$2,913.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.21 / $800.11 / $2,048.25	Professional		$485.21	$800.11	$2,048.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $588.10 / $1,438.02	Facility		$332.00	$588.10	$1,438.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.26 / $750.57 / $1,277.21	Professional		$402.26	$750.57	$1,277.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.44 / $812.75 / $1,094.66	Professional		$464.44	$812.75	$1,094.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $1,882.20 / $2,166.91	Facility		$254.50	$1,882.20	$2,166.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $470.55 / $816.77 / $2,048.25	Professional		$470.55	$816.77	$2,048.25
United Facility/Professional Professional Modifier Low / Median / High Price $440.85 / $637.99 / $1,454.57	Professional		$440.85	$637.99	$1,454.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $614.59 / $670.09 / $713.77	Facility		$614.59	$670.09	$713.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $513.13 / $922.20 / $1,595.12	Professional		$513.13	$922.20	$1,595.12