Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.80 / $380.40 / $762.57	Facility		$230.80	$380.40	$762.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $322.25 / $561.78	Professional		$230.80	$322.25	$561.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $348.93 / $755.11	Professional		$275.19	$348.93	$755.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $42.50 / $432.54	Facility		$42.50	$42.50	$432.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $432.54 / $475.04	Professional		$42.50	$432.54	$475.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.00 / $1,022.81 / $2,410.44	Facility		$793.00	$1,022.81	$2,410.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.03 / $421.20 / $1,237.23	Professional		$243.03	$421.20	$1,237.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $231.70 / $332.00 / $718.74	Facility		$231.70	$332.00	$718.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $261.11 / $358.03 / $612.83	Professional		$261.11	$358.03	$612.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $278.99 / $485.95	Professional		$75.75	$278.99	$485.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $345.23 / $1,022.81 / $2,269.71	Facility		$345.23	$1,022.81	$2,269.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $243.03 / $463.32 / $1,075.43	Professional		$243.03	$463.32	$1,075.43
United Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $365.35 / $807.29	Professional		$207.14	$365.35	$807.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $325.13 / $567.12	Facility		$325.13	$325.13	$567.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $210.16 / $380.77 / $720.55	Professional		$210.16	$380.77	$720.55