Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.04 / $352.15 / $708.79	Facility		$207.04	$352.15	$708.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $300.62 / $498.64	Professional		$207.04	$300.62	$498.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.38 / $315.51 / $660.41	Professional		$251.38	$315.51	$660.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $373.34	Facility		$68.20	$68.20	$373.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $373.34 / $441.55	Professional		$68.20	$373.34	$441.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $883.89 / $2,729.97	Facility		$672.36	$883.89	$2,729.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $445.29 / $1,141.56	Professional		$228.94	$445.29	$1,141.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $302.48 / $618.29	Facility		$199.25	$302.48	$618.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $360.08 / $571.69	Professional		$257.14	$360.08	$571.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $259.86 / $455.08	Professional		$60.60	$259.86	$455.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $309.24 / $883.89 / $3,027.46	Facility		$309.24	$883.89	$3,027.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $447.31 / $971.97	Professional		$254.51	$447.31	$971.97
United Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $353.13 / $744.70	Professional		$236.47	$353.13	$744.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $304.47 / $304.47 / $627.59	Facility		$304.47	$304.47	$627.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.51 / $383.54 / $674.78	Professional		$210.51	$383.54	$674.78