Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.94 / $1,062.95 / $2,915.95	Facility		$675.94	$1,062.95	$2,915.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.94 / $841.14 / $1,339.77	Professional		$557.94	$841.14	$1,339.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.12 / $766.17 / $1,876.92	Professional		$586.12	$766.17	$1,876.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $425.25 / $425.25 / $644.08	Facility		$425.25	$425.25	$644.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $425.25 / $644.08 / $1,069.33	Professional		$425.25	$644.08	$1,069.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.04 / $1,015.96 / $2,337.30	Facility		$758.04	$1,015.96	$2,337.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.46 / $1,041.45 / $2,379.67	Professional		$688.46	$1,041.45	$2,379.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $282.00 / $363.09 / $891.43	Facility		$282.00	$363.09	$891.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $679.90 / $926.18 / $1,639.62	Professional		$679.90	$926.18	$1,639.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.88 / $431.88 / $431.88	Facility		$431.88	$431.88	$431.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.88 / $745.28 / $1,464.46	Professional		$431.88	$745.28	$1,464.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $956.98 / $2,200.85	Facility		$254.50	$956.98	$2,200.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $745.00 / $1,083.91 / $2,430.66	Professional		$745.00	$1,083.91	$2,430.66
United Facility/Professional Professional Modifier Low / Median / High Price $596.74 / $810.94 / $1,850.36	Professional		$596.74	$810.94	$1,850.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $835.71 / $835.71 / $1,891.50	Facility		$835.71	$835.71	$1,891.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $639.96 / $1,022.83 / $1,993.05	Professional		$639.96	$1,022.83	$1,993.05