Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.65 / $572.99 / $1,568.84	Facility		$353.65	$572.99	$1,568.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.89 / $453.60 / $721.26	Professional		$301.89	$453.60	$721.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.13 / $404.10 / $1,000.48	Professional		$309.13	$404.10	$1,000.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.45 / $286.45 / $289.77	Facility		$286.45	$286.45	$289.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $289.77 / $576.23	Professional		$286.45	$289.77	$576.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.53 / $689.77 / $1,527.64	Facility		$511.53	$689.77	$1,527.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.43 / $536.74 / $1,285.29	Professional		$370.43	$536.74	$1,285.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $294.00 / $587.03	Facility		$219.99	$294.00	$587.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $365.01 / $497.22 / $875.51	Professional		$365.01	$497.22	$875.51
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.77 / $319.77 / $319.77	Facility		$319.77	$319.77	$319.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $397.96 / $786.77	Professional		$319.77	$397.96	$786.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $643.01 / $1,438.46	Facility		$254.50	$643.01	$1,438.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.48 / $572.75 / $1,287.58	Professional		$375.48	$572.75	$1,287.58
United Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $469.51 / $971.73	Professional		$315.02	$469.51	$971.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $448.98 / $448.98 / $884.99	Facility		$448.98	$448.98	$884.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $342.53 / $549.51 / $1,068.77	Professional		$342.53	$549.51	$1,068.77